Lakeside Medical Imaging LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

LAKESIDE MEDICAL IMAGING LLC

Practice address

1154 N Main St
Algonquin, IL 60102-3482

Phone

(847) 458-1460

Fax

(847) 458-1942

NPI assigned

Mar 29, 2013

Organization subpart

No

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

Authorized official

Name

Amy Adams

Title

President

Phone

(469) 362-6909

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1609119585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674351",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674351",
            "telephone_number": "847-458-1460",
            "fax_number": "847-458-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1154 N MAIN ST",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601023482",
            "telephone_number": "847-458-1460",
            "fax_number": "847-458-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKESIDE MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-362-6909"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jhoana La Rosa, RN
• Miles J Labno, PHARM.D.
• Robert S H Lai, M.D.
• Lake Barrington Women'S Health Center, PC
• Lake in the Hills Podiatry PC
• Julie Landau-Wise
• Don A Larson, PA-C
• Joseph Lawler
• Cort Daniel Lawton, M.D.
• Evan Lefelstein, DMD

• Magnetic Resonance Imaging (MRI) Clinic/Center in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.