Organization Active NPI

Magna Medical Solutions

  • Sonography Specialist/Technologist Cardiovascular
  • Freeport, IL
National Provider Identifier
1811298714
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Specialist/Technologist CardiovascularTaxonomy code 246XS1301X
License
105395 Issued in IL
Legal business name
MAGNA MEDICAL SOLUTIONS
Practice address
1600 Woodside Dr
Freeport, IL 61032-6730
Phone
(815) 235-9648
Fax
(815) 232-8730
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Sushma Wadhwa, RDCS RVTNPI 1669784765
Title
Ceo
Phone
(815) 235-9648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Specialist/Technologist CardiovascularGroup: 193400000X SINGLE SPECIALTY GROUP 246XS1301X 105395 IL Primary

Addresses

Primary practice location

1600 Woodside Dr
Freeport, IL 61032-6730

Mailing address

1600 Woodside Dr
Freeport, IL 61032-6730
Phone (815) 235-9648

Other names 1

  • MIDWEST MOBILE IMAGING Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1811298714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 WOODSIDE DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326730",
            "telephone_number": "815-235-9648",
            "fax_number": "815-232-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 WOODSIDE DR",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610326730",
            "telephone_number": "815-235-9648",
            "fax_number": "815-232-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNA MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "WADHWA",
        "authorized_official_first_name": "SUSHMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-235-9648",
        "authorized_official_credential": "RDCS RVT"
    },
    "taxonomies": [
        {
            "code": "246XS1301X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist Cardiovascular, Sonography",
            "state": "IL",
            "license": "105395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIDWEST MOBILE IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.