NPIMap

Organization Active NPI

Minimally Invasive Therapy Partners SC

  • Mobile Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1730622911
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
MINIMALLY INVASIVE THERAPY PARTNERS SC
Practice address
5011 N Lincoln Ave
Chicago, IL 60625-6351
Phone
(844) 834-6362
Fax
(855) 497-2932
NPI assigned
Nov 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Authorized official

Name
Dr. Iftikhar Ahmad, MD
Title
President and Ceo
Phone
(844) 834-6362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

5011 N Lincoln Ave
Chicago, IL 60625-6351

Mailing address

5011 N Lincoln Ave
Chicago, IL 60625-6351
Phone (844) 834-6362

Other names 1

  • Mobile Intervention and Diagnostic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minimally Invasive Therapy Partners SC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1730622911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256351",
            "telephone_number": "844-834-6362",
            "fax_number": "855-497-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256351",
            "telephone_number": "844-834-6362",
            "fax_number": "855-497-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE THERAPY PARTNERS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "844-834-6362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Intervention and Diagnostic",
            "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 21, 2016; 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.