Active NPI
Magna Medical Solutions
- Sonography Specialist/Technologist Cardiovascular
- Freeport, IL
National Provider Identifier
1811298714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sonography Specialist/Technologist Cardiovascular
- License
- 105395
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sushma Wadhwa, RDCS RVT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sonography Specialist/Technologist Cardiovascular | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sonography Specialist/Technologist Cardiovascular
- Freeport, IL
- NPI 1669784765
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1467450882
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.