MDS-Mobile Diagnostic Services, Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

MDS-MOBILE DIAGNOSTIC SERVICES, INC

Practice address

8770 W Bryn Mawr Ave
Chicago, IL 60631-3515

Phone

(773) 253-4963

NPI assigned

May 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Faith A Campbell

Title

President

Phone

(217) 378-4588

Specialties & licenses 1

Addresses

Other names 1

• MDS Other name

Locations

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1669430690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8770 W BRYN MAWR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313515",
            "telephone_number": "773-253-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 W BRYN MAWR AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313515",
            "telephone_number": "773-253-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDS-MOBILE DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-378-4588",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "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": [
        {
            "organization_name": "MDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• MD2 Chicago
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• Mdskn Enterprises Inc
• Mea Chicago PC
• Brittany Shannon Mead, MD
• Craig Mead, MSW, LCSW, LCPC
• Daniel Robert Mead, DNP, CNN-NP, NP-C

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Chicago, IL
• Providers in Chicago, IL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.