Active NPI
Lifecare Imaging Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Niles, IL
National Provider Identifier
1639737307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- LIFECARE IMAGING INC
- Practice address
- 7400 N Waukegan Rd Ste 107
Niles, IL 60714-4545 - Phone
- (800) 919-1761
- NPI assigned
- May 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Syed Omer Razvi
- Title
- President
- Phone
- (800) 919-1761
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | |||
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
7400 N Waukegan Rd Ste 107
Niles, IL 60714-4545
Mailing address
7400 N Waukegan Rd Ste 107
Niles, IL 60714-4545
Phone (800) 919-1761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190628002459 | IL | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 1355675018 | Practice locations: Des Plaines, IL |
| O20210730003091 | IL | Part B Supplier - Portable X-Ray Supplier | 1355675018 | Practice locations: Des Plaines, IL |
National Provider Directory
National Provider Directory- Tax ID family
- Lifecare Imaging Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Niles, IL
- NPI 1700764396
Locations
1631 Rand Rd
Ste C
Des Plaines, IL 60016
Phone (312) 799-9556
7400 N Waukegan Rd
Ste 107
Niles, IL 60714
900 Jorie Blvd
Ste 20
Oak Brook, IL 60523
Phone (800) 919-1761
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Bethpage, NY
- NPI 1922070457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1639737307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 N WAUKEGAN RD STE 107",
"city": "NILES",
"state": "IL",
"postal_code": "607144545",
"telephone_number": "800-919-1761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 N WAUKEGAN RD STE 107",
"city": "NILES",
"state": "IL",
"postal_code": "607144545",
"telephone_number": "800-919-1761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFECARE IMAGING INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-29",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "RAZVI",
"authorized_official_first_name": "SYED OMER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-919-1761"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": false
},
{
"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 Niles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.