Organization Active NPI

Medlife Healthcare Inc.

  • Mobile Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1720261746
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
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
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

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
Mobile Radiology Clinic/Center 261QR0208X 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

Locations

6352 N Lincoln Ave
#206
Chicago, IL 60659
Phone (773) 396-9655

6352 N Lincoln Ave
Ste 206
Chicago, IL 60659
Phone (773) 539-4100

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1720261746",
    "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": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2018-11-02",
        "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": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "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 Nov 2, 2018; 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.