Active NPI
Ultrasound of Belvidere LLC
- Sonography Radiologic Technologist
- Belvidere, IL
National Provider Identifier
1376665224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Radiologic Technologist
- Legal business name
- ULTRASOUND OF BELVIDERE LLC
- Practice address
- 1006 Logan Avenue
Belvidere, IL 61008 - Phone
- (815) 988-3642
- Fax
- (815) 544-4775
- NPI assigned
- Apr 4, 2007
- Last updated
- May 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tina Sabitosra
- Title
- Owner
- Phone
- (815) 988-3642
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | NU | ||
| Sonography Radiologic Technologist | 2471S1302X | NU | Primary |
Addresses
Primary practice location
1006 Logan Avenue
Belvidere, IL 61008
Mailing address
1006 Logan Avenue
Belvidere, IL 61008
Phone (815) 988-3642
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080730000050 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 8224102967 | Practice locations: Belvidere, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Rockford, IL
- NPI 1568487650
-
- Diagnostic Radiology Physician
- Rockford, IL
- NPI 1457568859
-
- Diagnostic Radiology Physician
- Rockford, IL
- NPI 1699723965
-
- Diagnostic Radiology Physician
- Rockford, IL
- NPI 1114411584
-
- Diagnostic Radiology Physician
- Mount Vernon, IL
- NPI 1174630099
-
- Interventional Cardiology Physician
- Port Charlotte, FL
- NPI 1427369131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209600000000",
"number": "1376665224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 LOGAN AVENUE",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "61008",
"telephone_number": "815-988-3642",
"fax_number": "815-544-4775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 LOGAN AVENUE",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "61008",
"telephone_number": "815-988-3642",
"fax_number": "815-544-4775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRASOUND OF BELVIDERE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2008-05-01",
"status": "A",
"authorized_official_last_name": "SABITOSRA",
"authorized_official_first_name": "TINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-988-3642"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2471S1302X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Sonography",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.