Lak Imaging Inc

Primary specialty

Sonography Radiologic TechnologistTaxonomy code 2471S1302X

License

RDMS 95906

Legal business name

LAK IMAGING INC

Practice address

1829 N Cleveland Ave
Unit C
Chicago, IL 60614-5273

Phone

(312) 482-8730

Fax

(773) 935-8087

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Larissa Kouliev, RDMS

Title

President

Phone

(312) 482-8730

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Timur Kouliev, MD

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1669664892
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821023391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 N CLEVELAND AVE",
            "address_2": "UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145273",
            "telephone_number": "312-482-8730",
            "fax_number": "773-935-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 N CLEVELAND AVE",
            "address_2": "UNIT C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145273",
            "telephone_number": "312-482-8730",
            "fax_number": "773-935-8087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAK IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOULIEV",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-482-8730",
        "authorized_official_credential": "RDMS"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Sonography",
            "state": null,
            "license": "RDMS 95906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RADIOLOGY ULTRASOUND",
            "identifier": "01632794",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Laitinen
• Lajaed Corporation
• Sheila M. Lajeune, PT
• Maryellen Karas Lajeunesse, LCSW
• Ashley Lynn Lajiness
• Imtiyaz Lakada, RPH
• Lake Cicero Clinic, S.C.
• Lake City Speech & Voice Therapy, PLLC
• Lake Front Medical Care Inc
• Lake Mi Mobile Doctors, P.C.

• Sonography Radiologic Technologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Sonography Radiologic Technologist 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.