NPIMap

Organization Active NPI

Medstar Diagnostic Services Incorporated

  • Mobile Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1558778696
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MEDSTAR DIAGNOSTIC SERVICES INCORPORATED
Practice address
6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283
Phone
(773) 539-4100
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Munawar Kamal
Title
President
Phone
(773) 539-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283

Mailing address

6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283
Phone (877) 589-1424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1558778696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "877-589-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "773-539-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR DIAGNOSTIC SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "KAMAL",
        "authorized_official_first_name": "MUNAWAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-539-4100"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.