Organization Active NPI

Vascular Diagnostic LLC

  • Mobile Radiology Clinic/Center
  • Addison, IL
National Provider Identifier
1972949634
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
121955 Issued in IL
Legal business name
VASCULAR DIAGNOSTIC LLC
Practice address
2166, W Silverleaf LN
Addison, IL 60101
Phone
(219) 964-8445
NPI assigned
May 21, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Authorized official

Name
Dilip B PatelNPI 1225473168
Title
Manager
Phone
(219) 964-8445

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)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 121955 IL Primary

Addresses

Primary practice location

2166, W Silverleaf LN
Addison, IL 60101

Mailing address

2166, W Silverleaf LN
Addison, IL 60101
Phone (219) 964-8445

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1972949634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166, W SILVERLEAF LN",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "60101",
            "telephone_number": "219-964-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166, W SILVERLEAF LN",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "60101",
            "telephone_number": "219-964-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR DIAGNOSTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DILIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "219-964-8445"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "IL",
            "license": "121955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.