Organization Active NPI

Care Diagnostic Services LLC

  • Mobile Radiology Clinic/Center
  • Chicago, IL
National Provider Identifier
1932232873
Registry record updated Feb 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
CARE DIAGNOSTIC SERVICES LLC
Practice address
7459 N Western Ave
Chicago, IL 60645-1735
Phone
(773) 338-3344
Fax
(773) 338-3355
NPI assigned
Mar 13, 2007
Last updated
Feb 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2012

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

Authorized official

Name
Mr. Nomaan M Azeez
Title
Administrator
Phone
(773) 338-3344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X NU Primary

Addresses

Primary practice location

7459 N Western Ave
Chicago, IL 60645-1735

Mailing address

7459 N Western Ave
Chicago, IL 60645-1735
Phone (773) 338-3344

Other identifiers 1

IdentifierTypeStateIssuer
01636375OtherILBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1932232873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451735",
            "telephone_number": "773-338-3344",
            "fax_number": "773-338-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7459 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451735",
            "telephone_number": "773-338-3344",
            "fax_number": "773-338-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DIAGNOSTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "AZEEZ",
        "authorized_official_first_name": "NOMAAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-338-3344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01636375",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.