MBSS Imaging Masters, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

MBSS IMAGING MASTERS, LLC

Practice address

2500 S Highland Ave Ste 330
Lombard, IL 60148-5390

Phone

(847) 749-4583

Fax

(847) 742-4596

NPI assigned

Aug 9, 2021

Last updated

Jun 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmed Ganatra

Title

Owner

Phone

(847) 749-4583

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Rex Miller III, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1861503468
  Medicare reassignment NPD
• Gustavo Eduardo Saravia, MD

  • Diagnostic Radiology Physician
  • Villa Park, IL
  • NPI 1659353621
  Medicare reassignment NPD
• Lisa E Hosea, MD

  • Hospitalist Physician
  • Lombard, IL
  • NPI 1871560060
  NPD
• Rashda Khan, M.D.

  • Internal Medicine Physician
  • Hickory Hills, IL
  • NPI 1609935816
  NPD
• Farah Shaista, MS

  • Speech-Language Pathologist
  • Schaumburg, IL
  • NPI 1700137635
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1649945098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE STE 330",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485390",
            "telephone_number": "847-749-4583",
            "fax_number": "847-742-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S HIGHLAND AVE STE 330",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485390",
            "telephone_number": "847-749-4583",
            "fax_number": "847-742-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBSS IMAGING MASTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "GANATRA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-749-4583"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Mayo
• Mohammed A Mazher, AO
• Jill Hope Mazzuca, LSW
• MBS Imaging LLC
• MBS Imaging Service LTD
• MBSS Mobile, Inc.
• Eva H McCormick, OT
• December McCracken, CCC-SLP
• Rebecca McCullum
• Kevin Craig McCune, M.D.

• Mobile Radiology Clinic/Center in Lombard, IL
• Providers in Lombard, IL by specialty
• Mobile Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.