Matteson MRI Inc

Primary specialty

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

Legal business name

MATTESON MRI INC

Practice address

4801 Southwick Dr
Suite 101
Matteson, IL 60443-2254

Phone

(708) 481-9300

Fax

(708) 481-9320

NPI assigned

Sep 9, 2011

Organization subpart

No

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

Authorized official

Name

Terri Nassar

Title

Manager

Phone

(708) 481-9300

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1639451297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR",
            "address_2": "SUITE 101",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432254",
            "telephone_number": "708-481-9300",
            "fax_number": "708-481-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 SOUTHWICK DR",
            "address_2": "SUITE 101",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432254",
            "telephone_number": "708-481-9300",
            "fax_number": "708-481-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTESON MRI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "NASSAR",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-481-9300"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marcus Matthews, OTR/L
• Maxim Healthcare Services, Inc.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Matteson, IL
• Providers in Matteson, 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 Dec 2, 2011; 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.