Organization Active NPI

Lev Diagnostics Inc

  • Mobile Radiology Clinic/Center
  • Northbrook, IL
National Provider Identifier
1588058150
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
05169585 Issued in IL
Legal business name
LEV DIAGNOSTICS INC
Practice address
3605 Woodhead Dr Ste 111
Northbrook, IL 60062-1850
Phone
(847) 537-5555
Fax
(877) 432-7816
NPI assigned
Mar 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Authorized official

Name
Dr. Mayer Zayan, M.D,NPI 1619064151
Title
Owner
Phone
(800) 564-5270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 05169585 IL Primary
Mobile Radiology Clinic/Center 261QR0208X

Addresses

Primary practice location

3605 Woodhead Dr Ste 111
Northbrook, IL 60062-1850

Mailing address

3605 Woodhead Dr Ste 111
Northbrook, IL 60062-1850
Phone (800) 564-5270

Other practice location 1

3194 Doolittle Dr
Northbrook, IL 60062
Phone (847) 537-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151015000023 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1850600727 Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

3194 Doolittle Dr
Northbrook, IL 60062
Phone (847) 537-5555

6825 Levelland Rd
Ste 5A
Dallas, TX 75252
Phone (469) 248-3006

Practitioners & affiliated clinicians

Practitioners 3

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": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1588058150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 WOODHEAD DR STE 111",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621850",
            "telephone_number": "800-564-5270",
            "fax_number": "877-432-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 WOODHEAD DR STE 111",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621850",
            "telephone_number": "847-537-5555",
            "fax_number": "877-432-7816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3194 DOOLITTLE DR",
            "address_purpose": "LOCATION",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062",
            "country_code": "US",
            "telephone_number": "847-537-5555",
            "fax_number": "877-432-7816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEV DIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "ZAYAN",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-564-5270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "IL",
            "license": "05169585",
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.