Round Lake MRI, Inc

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

ROUND LAKE MRI, INC

Practice address

720 E Rollins Rd
Round Lake Beach, IL 60073-1340

Phone

(847) 546-3600

Fax

(847) 546-3633

NPI assigned

May 15, 2019

Organization subpart

Yes

Parent organization

ROUND LAKE MEDICAL IMAGING INCAs reported in NPPES

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

Authorized official

Name

Mr. Jose Thenganatt, RT(R)

Title

Technical Director

Phone

(847) 546-3600

Specialties & licenses 1

Addresses

Electronic endpoints 1

Part of

Round Lake Medical Imaging Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Round Lake Medical Imaging Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Round Lake Beach, IL
  • NPI 1225563380
  NPPES parent name

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1386200319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731340",
            "telephone_number": "847-546-3600",
            "fax_number": "847-546-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 E ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731340",
            "telephone_number": "847-546-3600",
            "fax_number": "847-546-3633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUND LAKE MRI, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROUND LAKE MEDICAL IMAGING INC",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "THENGANATT",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "TECHNICAL DIRECTOR",
        "authorized_official_telephone_number": "847-546-3600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT(R)"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ROUNDLAKEMRI@GMAIL.COM",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "720 E Rollins Rd",
            "city": "Round Lake Beach",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600731340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debbie Rhie, DMD
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• Round Lake Medical Suites
• Steven L Ruohomaki, L.C.S.W.
• Kirsten Elise Ryan, DT, LCPC
• Safeway Inc
• Yareli Sanchez Olmos
• Barbara Sargent, PNP

• Magnetic Resonance Imaging (MRI) Clinic/Center in Round Lake Beach, IL
• Providers in Round Lake Beach, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.