Organization Active NPI

Quality Diagnostic Imaging,LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Crest Hill, IL
National Provider Identifier
1720038607
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
9257193 Issued in IL
Legal business name
QUALITY DIAGNOSTIC IMAGING,LLC
Practice address
2202 Weber Rd
Crest Hill, IL 60435-0928
Phone
(773) 297-6351
NPI assigned
May 11, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Samiuddin Syed Khaja
Title
President
Phone
(773) 297-6351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 9257193 IL Primary

Addresses

Primary practice location

2202 Weber Rd
Crest Hill, IL 60435-0928

Mailing address

2202 Weber Rd
Crest Hill, IL 60435-0928

National Provider Directory

National Provider Directory

Locations

2202 Weber Rd
Crest Hill, IL 60403
Phone (815) 744-2344

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720038607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604350928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 WEBER RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604350928",
            "telephone_number": "773-297-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY DIAGNOSTIC IMAGING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KHAJA",
        "authorized_official_first_name": "SAMIUDDIN",
        "authorized_official_middle_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-297-6351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "IL",
            "license": "9257193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.