Organization Active NPI

Medlife Healthcare Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Chicago, IL
National Provider Identifier
1669705125
Registry record updated Aug 22, 2019
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
MEDLIFE HEALTHCARE INC
Doing business as
Medlife Diagnostic Services
Practice address
6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283
Phone
(773) 539-4100
Fax
(773) 539-9400
NPI assigned
Sep 15, 2009
Organization subpart
Yes
Parent organization
MEDLIFE HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Afroz Lateef
Title
President
Phone
(773) 539-4100

Specialties & licenses 1

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

Addresses

Primary practice location

6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283

Mailing address

6374 N Lincoln Ave Ste 310
Chicago, IL 60659-1283
Phone (773) 539-4100

Other names 1

  • Medlife Diagnostic Services Doing business as

National Provider Directory

National Provider Directory
Part of
Medlife Healthcare Inc

Locations

222 E Wisconsin Ave
Ste 2B
Lake Forest, IL 60045
Phone (773) 396-9655

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1669705125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "773-539-4100",
            "fax_number": "773-539-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6374 N LINCOLN AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591283",
            "telephone_number": "773-539-4100",
            "fax_number": "773-539-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDLIFE HEALTHCARE INC",
        "enumeration_date": "2009-09-15",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "LATEEF",
        "authorized_official_first_name": "AFROZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-539-4100"
    },
    "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": "Medlife Diagnostic Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medlife Diagnostic Services",
            "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 Aug 22, 2019; 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.