Organization Active NPI

Central Dupage Imaging Center LLC

  • Radiology Clinic/Center
  • Wheaton, IL
National Provider Identifier
1356599732
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CENTRAL DUPAGE IMAGING CENTER LLC
Practice address
2001 N Gary Avenue
Suite # 100
Wheaton, IL 60187
Phone
(630) 614-4260
Fax
(630) 614-4275
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heidi A Coupland
Title
VP of Operations
Phone
(480) 736-2991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2001 N Gary Avenue
Suite # 100
Wheaton, IL 60187

Mailing address

2001 N Gary Avenue
Suite # 100
Wheaton, IL 60187
Phone (630) 614-4260

National Provider Directory

National Provider Directory

Locations

2001 N Gary Ave
Ste 100
Wheaton, IL 60187
Phone (630) 614-4100

2001 N Gary Ave
Ste 100N
Wheaton, IL 60187
Phone (630) 614-4260

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1356599732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N GARY AVENUE",
            "address_2": "SUITE # 100",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-614-4260",
            "fax_number": "630-614-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N GARY AVENUE",
            "address_2": "SUITE # 100",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-614-4260",
            "fax_number": "630-614-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL DUPAGE IMAGING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "COUPLAND",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "480-736-2991"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.