Organization Active NPI

Mrad Imaging LLC

  • Radiology Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1578074274
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MRAD IMAGING LLC
Practice address
9680 Golf Rd
Des Plaines, IL 60016-1522
Phone
(847) 296-5366
NPI assigned
Oct 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
John Saldanha
Title
Director
Phone
(847) 296-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

9680 Golf Rd
Des Plaines, IL 60016-1522

Mailing address

9680 Golf Rd
Des Plaines, IL 60016-1522

Other practice location 1

11600 S Kedzie Ave Ste G
Merrionette Park, IL 60803-6308
Phone (708) 215-3400

Other identifiers 1

IdentifierTypeStateIssuer
8472965366OtherPHONE

National Provider Directory

National Provider Directory

Locations

11600 S Kedzie Ave
Ste G
Merrionette Park, IL 60803
Phone (708) 215-3400

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1578074274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 GOLF RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161522",
            "telephone_number": "847-296-5366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11600 S Kedzie Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Merrionette Park",
            "state": "IL",
            "postal_code": "608036308",
            "country_code": "US",
            "telephone_number": "708-215-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MRAD IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-20",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "SALDANHA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-296-5366"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHONE",
            "identifier": "8472965366",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.