Stat Imaging, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

STAT IMAGING, LLC

Practice address

5 Mettawa Lane
Riverwoods, IL 60015

Phone

(847) 347-5131

NPI assigned

Dec 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Marc Eisenstein, M.D.

Title

Vice President

Phone

(847) 465-6014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1992008973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 METTAWA LANE",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "847-465-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 METTAWA LANE",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "60015",
            "telephone_number": "847-347-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "EISENSTEIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-465-6014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.