Organization Active NPI

Mediquest Diagnostic Center S.C

Doing business as Med-Quest Radiology

  • Sonography Specialist/Technologist Cardiovascular
  • Chicago, IL
National Provider Identifier
1568419778
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
N / A Issued in IL
Legal business name
MEDIQUEST DIAGNOSTIC CENTER S.C
Doing business as
Med-Quest Radiology
Practice address
3420 W Peterson Ave
Chicago, IL 60659-3418
Phone
(773) 604-4305
Fax
(847) 296-8860
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Mrs. Sabiha N Ahmed, B.S
Title
President
Phone
(630) 894-6105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193200000X MULTI-SPECIALTY GROUP 246XS1301X N / A IL Primary
Radiography Radiologic TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 2471C3402X 9258142 IL

Addresses

Primary practice location

3420 W Peterson Ave
Chicago, IL 60659-3418

Mailing address

3420 W Peterson Ave
Chicago, IL 60659-3418
Phone (773) 604-4305

Other names 1

  • Med-Quest Radiology Doing business as

National Provider Directory

National Provider Directory

Locations

3425 W Peterson Ave
Ste 201
Chicago, IL 60659
Phone (773) 604-4305

3420 W Peterson Ave
Chicago, IL 60659
Phone (773) 267-0020

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1568419778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593418",
            "telephone_number": "773-604-4305",
            "fax_number": "847-296-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593418",
            "telephone_number": "773-604-4305",
            "fax_number": "847-296-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIQUEST DIAGNOSTIC CENTER S.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SABIHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-894-6105",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "IL",
            "license": "N / A",
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "IL",
            "license": "9258142",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med-Quest Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2013; 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.