Midwest Diagnostic Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MIDWEST DIAGNOSTIC INC.

Practice address

2600 W Peterson Ave
Chicago, IL 60659-4098

Phone

(773) 944-5775

Fax

(773) 944-9779

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Syed Riazul Hassan

Title

President/Administrator

Phone

(773) 392-6888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740234384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594098",
            "telephone_number": "773-944-5775",
            "fax_number": "773-944-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594098",
            "telephone_number": "773-944-5775",
            "fax_number": "773-944-9779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST DIAGNOSTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "RIAZUL",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "773-392-6888"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.