Touhy Diagnostic at Home LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

TOUHY DIAGNOSTIC AT HOME LLC

Practice address

490 Lee St
Des Plaines, IL 60016-4646

Phone

(847) 803-1111

Fax

(847) 803-1114

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Shaban R Darvish

Title

President

Phone

(847) 803-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Touhy Diagnostic at Home LLC

  • Radiology Clinic/Center
  • Des Plaines, IL
  • NPI 1588923445

  0446223689

  Same PAC ID
• Touhy Diagnostic at Home, LLC

  • Diagnostic Radiology Physician
  • Des Plaines, IL
  • NPI 1518042548

  0446223689

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Touhy Diagnostic at Home, LLC

  • Diagnostic Radiology Physician
  • Des Plaines, IL
  • NPI 1518042548

  O20050624000577

  Same enrollment

Tax ID family

Touhy Diagnostic at Home LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Touhy Diagnostic at Home LLC

  • Radiology Clinic/Center
  • Des Plaines, IL
  • NPI 1588923445
  NPD tax ID
• Touhy Diagnostic at Home, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Kenosha, WI
  • NPI 1144657933
  NPD tax ID
• Touhy Diagnostic at Home, LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Schererville, IN
  • NPI 1164850996
  NPD tax ID

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1861630253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164646",
            "telephone_number": "847-803-1111",
            "fax_number": "847-803-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164646",
            "telephone_number": "847-803-1111",
            "fax_number": "847-803-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUHY DIAGNOSTIC AT HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "SHABAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-803-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.