Organization Active NPI

Lifecare Imaging Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Niles, IL
National Provider Identifier
1639737307
Registry record updated Jun 16, 2026
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
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

Updated by the provider on Jun 16, 2026

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)CodeLicenseStatePrimary
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 IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.