NPIMap

Organization Active NPI

Minimally Invasive Therapy Partners SC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Chicago, IL
National Provider Identifier
1659739910
Registry record updated Mar 1, 2017
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
MINIMALLY INVASIVE THERAPY PARTNERS SC
Doing business as
Mobile Intervention and Diagnostic
Practice address
5011 N Lincoln Ave
Chicago, IL 60625-6351
Phone
(844) 834-6362
Fax
(855) 497-2932
NPI assigned
Feb 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Authorized official

Name
Dr. Iftikhar Ahmad, MDNPI 1922070457
Title
President and Ceo
Phone
(844) 834-6362

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5011 N Lincoln Ave
Chicago, IL 60625-6351

Mailing address

5011 N Lincoln Ave
Chicago, IL 60625-6351
Phone (844) 834-6362

Other names 1

  • Mobile Intervention and Diagnostic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minimally Invasive Therapy Partners SC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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": "1454371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1659739910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256351",
            "telephone_number": "844-834-6362",
            "fax_number": "855-497-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256351",
            "telephone_number": "844-834-6362",
            "fax_number": "855-497-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE THERAPY PARTNERS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-02",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "844-834-6362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Intervention and Diagnostic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.