MRI Associates of Illinois SC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

MRI ASSOCIATES OF ILLINOIS SC

Practice address

6240 W 95TH St
Oak Lawn, IL 60453-2702

Phone

(888) 440-6494

Fax

(330) 759-1501

NPI assigned

Aug 31, 2005

Organization subpart

Yes

Parent organization

MRI ASSOCIATES OF ILLINOIS SCAs reported in NPPES

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

Authorized official

Name

David L Bloom, MD

Title

President

Phone

(973) 707-1100

Specialties & licenses 1

Addresses

Other names 1

• Oaklawn MR & Imaging Center Doing business as

Part of

MRI Associates of Illin

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• MRI Associates of Illinois SC

  • Diagnostic Radiology Physician
  • Merrionette Park, IL
  • NPI 1003809674
  NPPES parent name

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1588657993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SPRING HILL RD",
            "address_2": "SUITE 500",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023000",
            "telephone_number": "703-287-4189",
            "fax_number": "703-448-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532702",
            "telephone_number": "888-440-6494",
            "fax_number": "330-759-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRI ASSOCIATES OF ILLINOIS SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MRI ASSOCIATES OF ILLINOIS SC",
        "enumeration_date": "2005-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-707-1100",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oaklawn MR & Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sean Edward Motzny, M.D.
• Munira Moukaddem
• Stephanie Moulton, NP
• Ashley Moultrie, M.H.S. CCC-SLP
• Sarah Mputu
• MRI of Oak Lawn LLC
• Edward Mroz
• Sunthorn Muangmingsuk, MD
• Shazra Mubeen, PHARMD
• Gloria Mudryj, MSN, APN

• Diagnostic Radiology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.