Organization Active NPI

Apollo Xray Service, Inc

  • Radiology Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1679853493
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
License
9230657 Issued in IL
Legal business name
APOLLO XRAY SERVICE, INC
Practice address
1460 Market St
Suite 205
Des Plaines, IL 60016-4643
Phone
(847) 657-1200
Fax
(847) 657-1187
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Mr. Rudolph R Luna, RT
Title
President
Phone
(847) 657-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 9230657 IL Primary

Addresses

Primary practice location

1460 Market St
Suite 205
Des Plaines, IL 60016-4643

Mailing address

1460 Market St
Suite 205
Des Plaines, IL 60016-4643
Phone (847) 657-1200

Other names 1

  • APOLLO MEDICAL IMAGING Doing business as

National Provider Directory

National Provider Directory

Locations

1460 Market St
Ste 205
Des Plaines, IL 60016
Phone (847) 657-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1679853493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 MARKET ST",
            "address_2": "SUITE 205",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164643",
            "telephone_number": "847-657-1200",
            "fax_number": "847-657-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MARKET ST",
            "address_2": "SUITE 205",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164643",
            "telephone_number": "847-657-1200",
            "fax_number": "847-657-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO XRAY SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-657-1200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RT"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": "9230657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APOLLO MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; 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.