Organization Active NPI

Dr Diagnostic Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Skokie, IL
National Provider Identifier
1639205883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
DR DIAGNOSTIC INC
Practice address
7933 Lincoln Ave
Skokie, IL 60077-3632
Phone
(773) 620-7130
Fax
(773) 545-9895
NPI assigned
Feb 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Valery Roytman
Title
Office Manager
Phone
(773) 620-7130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

7933 Lincoln Ave
Skokie, IL 60077-3632

Mailing address

7933 Lincoln Ave
Skokie, IL 60077-3632
Phone (773) 620-7130

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639205883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773632",
            "telephone_number": "773-620-7130",
            "fax_number": "773-545-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7933 LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773632",
            "telephone_number": "773-620-7130",
            "fax_number": "773-545-9895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DIAGNOSTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROYTMAN",
        "authorized_official_first_name": "VALERY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-620-7130",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.