Ultra Diagnostics, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

Legal business name

ULTRA DIAGNOSTICS, LLC

Practice address

1572 Brandywyn LN
Buffalo Grove, IL 60089-1003

Phone

(847) 962-6178

NPI assigned

Oct 7, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Ilya Tartakovsky

Title

President

Phone

(847) 962-6178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349568000000",
    "number": "1710239371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1572 BRANDYWYN LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891003",
            "telephone_number": "847-962-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 BRANDYWYN LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891003",
            "telephone_number": "847-962-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-07",
        "last_updated": "2012-10-07",
        "status": "A",
        "authorized_official_last_name": "TARTAKOVSKY",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-962-6178",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milena Triolo
• Brittany Turner
• Mark W Turner, PSY D
• Joanna Tylman, DMD
• Wanda J Tyndall White, LCSW
• Michael J Unger, MD
• United Mobile Services Inc.
• Uropartners, LLC
• Sheena Angela R Vallesterol
• Jaclyn Elizabeth Van Grinsven, ATC, PT, DPT

• Mobile Radiology Clinic/Center in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Oct 7, 2012; 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.