Organization Active NPI

Pmi Diagnostic Imaging LLC

Doing business as Parkview Musculoskeletal Institute LLC

  • Diagnostic Radiology Physician
  • Palos Heights, IL
National Provider Identifier
1831261205
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
PMI DIAGNOSTIC IMAGING LLC
Doing business as
Parkview Musculoskeletal Institute LLC
Practice address
7600 W College Dr
Pmi Diagnostic Imaging
Palos Heights, IL 60463
Phone
(708) 923-2577
Fax
(708) 361-8425
NPI assigned
Nov 14, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Ms. Meryl Lynn Mioni, RTRMR BS
Title
Imaging Director
Phone
(708) 361-9852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

7600 W College Dr
Pmi Diagnostic Imaging
Palos Heights, IL 60463

Mailing address

7600 W College Dr
Pmi Diagnostic Imaging
Palos Heights, IL 60463
Phone (708) 923-2577

Other identifiers 1

IdentifierTypeStateIssuer
01621320OtherBCBS

Other names 1

  • Parkview Musculoskeletal Institute LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000416 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2466350582 Practice locations: Palos Heights, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Parkview Musculoskeletal Institute LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1831261205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "address_2": "PMI DIAGNOSTIC IMAGING",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-923-2577",
            "fax_number": "708-361-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR",
            "address_2": "PMI DIAGNOSTIC IMAGING",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "60463",
            "telephone_number": "708-923-2577",
            "fax_number": "708-361-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMI DIAGNOSTIC IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "MIONI",
        "authorized_official_first_name": "MERYL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "IMAGING DIRECTOR",
        "authorized_official_telephone_number": "708-361-9852",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RTRMR BS"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01621320",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parkview Musculoskeletal Institute LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.