Organization Active NPI

US Services

Doing business as US Diagnostics

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Chicago, IL
National Provider Identifier
1467611764
Registry record updated Dec 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
US SERVICES
Doing business as
US Diagnostics
Practice address
6259 W Higgins Ave
Chicago, IL 60630-1846
Phone
(773) 775-1670
Fax
(773) 775-1682
NPI assigned
Jun 3, 2008
Last updated
Dec 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2012

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

Authorized official

Name
Hussain M Ghalib
Title
President
Phone
(773) 775-1670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X NU Primary

Addresses

Primary practice location

6259 W Higgins Ave
Chicago, IL 60630-1846

Mailing address

6259 W Higgins Ave
Chicago, IL 60630-1846
Phone (773) 775-1670

Other identifiers 2

IdentifierTypeStateIssuer
01635044OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS
DC5948OtherILRAILROAD MEDICARE

Other names 1

  • US Diagnostics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050705000133 IL Part B Supplier - Portable X-Ray Supplier 4486614617 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467611764. Details of each certification follow.

Portable X-ray supplier certification: CCN 14X0009872

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
US DIAGNOSTICS
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
May 12, 2005
Last certification
Dec 13, 2022
Ownership / control type
Corporation
Facility address
6259 W Higgins Ave
Chicago, IL 60630

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
US Diagnostics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1467611764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6259 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301846",
            "telephone_number": "773-775-1670",
            "fax_number": "773-775-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6259 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301846",
            "telephone_number": "773-775-1670",
            "fax_number": "773-775-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "GHALIB",
        "authorized_official_first_name": "HUSSAIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-775-1670"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "01635044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC5948",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "US Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.