Organization Active NPI

Rdi Vein LLC

  • Radiology Clinic/Center
  • Champaign, IL
National Provider Identifier
1790946929
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
RDI VEIN LLC
Practice address
2502 Galen Drive
Suite 101
Champaign, IL 61821
Phone
(217) 355-8346
Fax
(217) 355-8347
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Authorized official

Name
Dr. Aldo C Ruffolo, DO
Title
President
Phone
(217) 355-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

2502 Galen Drive
Suite 101
Champaign, IL 61821

Mailing address

2502 Galen Drive
Suite 101
Champaign, IL 61821-7049
Phone (217) 355-8346

Other names 1

  • Bella Vein Institute Doing business as

National Provider Directory

National Provider Directory

Locations

345 E Ash Ave
#A
Decatur, IL 62526
Phone (217) 615-0834

900 W Temple Ave
Ste 106
Effingham, IL 62401
Phone (217) 347-8346

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324339200000",
    "number": "1790946929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 GALEN DRIVE",
            "address_2": "SUITE 101",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618217049",
            "telephone_number": "217-355-8346",
            "fax_number": "217-355-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 GALEN DRIVE",
            "address_2": "SUITE 101",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "61821",
            "telephone_number": "217-355-8346",
            "fax_number": "217-355-8347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDI VEIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2011-12-20",
        "status": "A",
        "authorized_official_last_name": "RUFFOLO",
        "authorized_official_first_name": "ALDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-355-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Vein Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.