NPIMap

Organization Active NPI

Pmi Diagnostic Imaging LLC

Doing business as Parkview Musculoskeletal Institute LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Joliet, IL
National Provider Identifier
1447434139
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
PMI DIAGNOSTIC IMAGING LLC
Doing business as
Parkview Musculoskeletal Institute LLC
Practice address
2201 Glenwood Ave
Pmi Diagnostic Imaging
Joliet, IL 60435-5574
Phone
(815) 725-0006
Fax
(815) 725-5136
NPI assigned
Dec 18, 2007
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Ms. Meryl Lynn Mioni, RTRMR BS
Title
Imaging Director
Phone
(708) 361-9852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X NU Primary

Addresses

Primary practice location

2201 Glenwood Ave
Pmi Diagnostic Imaging
Joliet, IL 60435-5574

Mailing address

2201 Glenwood Ave
Pmi Diagnostic Imaging
Joliet, IL 60435-5574
Phone (815) 725-0006

Other names 1

  • Parkview Musculoskeletal Institute LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080216000038 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2466350582 Practice locations: New Lenox, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Parkview Musculoskeletal Institute LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

688 Cedar Crossings Dr
Ste B
New Lenox, IL 60451
Phone (815) 215-3080

7600 W College Dr
Lowr
Palos Heights, IL 60463
Phone (708) 923-2577

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1447434139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 GLENWOOD AVE",
            "address_2": "PMI DIAGNOSTIC IMAGING",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355574",
            "telephone_number": "815-725-0006",
            "fax_number": "815-725-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GLENWOOD AVE",
            "address_2": "PMI DIAGNOSTIC IMAGING",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355574",
            "telephone_number": "815-725-0006",
            "fax_number": "815-725-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMI DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "MIONI",
        "authorized_official_first_name": "MERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "IMAGING DIRECTOR",
        "authorized_official_telephone_number": "708-361-9852",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RTRMR BS"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Musculoskeletal Institute LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.

Verify at the official NPI Registry.