A & a Mobile Imaging, LLC
Organization Active NPI Sonography Radiologic Technologist · Orland Park, IL
NPI 1508699604 · NPPES record last updated Aug 15, 2025
Key facts
- NPI
- 1508699604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sonography Radiologic Technologist 2471S1302X
- Legal business name
- A & A MOBILE IMAGING, LLC
- Practice address
- 14500 John Humphrey Dr Unit 3
Orland Park, IL 60462-2816 - Phone
- (708) 971-3114
- NPI assigned
- Aug 23, 2024
- Organization subpart
- No
Authorized official
- Name
- Ayuob Salem, RVT
- Title
- Owner
- Phone
- (708) 971-3114
Practitioners 3
-
Ayuob Salem, RVT
-
Mark Macumber, MD
-
Ross McArthur, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250224000436 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 3577083401 | Practice locations: Orland Park, IL |
National Provider Directory
Locations
14500 John Humphrey Dr
Orland Park, IL 60462
14500 John Humphrey Dr
Unit 3
Orland Park, IL 60462
Phone (708) 971-3114
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Radiologic Technologist |
2471S1302X | Yes | ||
| Mobile Radiology Clinic/Center | 261QR0208X |
Addresses
Primary practice location
14500 John Humphrey Dr Unit 3
Orland Park, IL 60462-2816
Mailing address
6130 Brookwood Dr
Oak Forest, IL 60452-2918
Phone (708) 971-3114
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All providers in Orland Park, IL · Sonography Radiologic Technologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.