MOBILE DIAGNOSTIC SOLUTIONS, INC (NPI# 1043695786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043695786 |
| Entity Type | Organization |
| Organization Name | MOBILE DIAGNOSTIC SOLUTIONS, INC |
| Practice Address |
350 S Northwest Hwy 300 Park Ridge IL 60068-4216 |
| Mailing Address |
350 S Northwest Hwy Ste 300 Park Ridge IL 60068-4216 |
| Practice Telephone | 8476565392 |
| Mailing Telephone | 8476565392 |
| Mailing Fax Number | 8476565395 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-24 |
| Authorized Official Name | MR. SAMUEL J SHIFO (PRESIDENT) |
| Authorized Official Telephone | 8476565392 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MOBILE DIAGNOSTIC SOLUTIONS, INC. | 1553 Broadway, Hewlett, Ny 11557 |
| Street Address |
350 S NORTHWEST HWY 300 |
| City | PARK RIDGE |
| State | IL |
| Zip Code | 60068-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700860640 | Specialized Imaging Services, Inc | Clinic/Center | 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068-4216 | 2005-12-05 |
| 1801432596 | Toni Hicks | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-11-18 |
| 1730724527 | Sonia Lally-singh | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-11-15 |
| 1225689862 | Alam Gonzalez | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-09-25 |
| 1760945042 | Lori-ann Riley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
| 1588127864 | Quiani Kimbrough | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
| 1487117768 | Jameela Bridges | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-12 |
| 1538622576 | Laure Frawley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-04-08 |
| 1154880482 | Sydney Shamley | Behavior Technician | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-03-16 |
| 1427513290 | Integrativestrategiesrx | Counselor | 350 S Northwest Hwy, Park Ridge, IL 60068-4216 | 2019-02-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010720 | Caitlin Marie Kompanowski | Dentist | 412 W. Talcott, Park Ridge, IL 60068 | 2020-07-08 |
| 1972142198 | Center for Authentic Living, Inc. | Counselor | 120 Main Street Suite 200, Park Ridge, IL 60068 | 2020-01-06 |
| 1306312152 | Maryann Almores Devilla | Physical Medicine & Rehabilitation | Sunrise Assisted Living, 1725 Ballard Road, Park Ridge, IL 60068 | 2018-10-19 |
| 1053808857 | Landon Ginsberg | Student in an Organized Health Care Education/Training Program | 1775 Ballard, Park Ridge, IL 60068 | 2018-04-17 |
| 1255828448 | Vera W Brink | Obstetrics & Gynecology | Parkside Professional Center, 1875 Dempster St., Ste. 330, Park Ridge, IL 60068 | 2018-04-13 |
| 1205367448 | Courtney Heim | Psychiatry & Neurology | 1875 W.dempster Street - Park Side Professional Center, Ste 470, Park Ridge, IL 60068 | 2017-03-21 |
| 1720521362 | Alexander Mylonas | Psychologist | 1400 Renaissance Dr Ste 401, Park Ridge, IL 60068 | 2016-11-30 |
| 1376090878 | Rebecca Rajasekhar | Audiologist | 1030 W. Higgins Rd., Audiology Room 6, Park Ridge, IL 60068 | 2016-09-01 |
| 1164818449 | Mohammad Taha Mustaf Taha Mustafa Sheikh | Student in an Organized Health Care Education/Training Program | 1550 North Northwest Highway Suite 107, L.m. Prasad, Md, Sc, Park Ridge, IL 60068 | 2015-04-13 |
| 1518397918 | Megan Roberts | Speech-Language Pathologist | 2240 Campus Dr., Evanston, IL 60068 | 2013-11-21 |
| Find all providers in zip 60068 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558635516 | Park Ridge Lab Inc | Clinical Medical Laboratory | 950 N Northwest Hwy Ste 102, Park Ridge, IL 60068-2349 | 2012-03-07 |
| 1477170934 | Sj.s. Medical Testing Services | Clinical Medical Laboratory | 350 S Northwest Hwy Ste 300, Park Ridge, IL 60068-4262 | 2020-07-01 |
| 1245528876 | Medex Diagnostics LLC | Clinical Medical Laboratory | 350 S Northwest Hwy, Suite 300, Park Ridge, IL 60068-4216 | 2011-07-18 |
| 1093029217 | A2cl Services, LLC | Clinical Medical Laboratory | 1700 Luther Ln, Suite 1260, Park Ridge, IL 60068-1270 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745670 | Rivercross Diagnostics Inc. | Clinical Medical Laboratory | 910 Broadway St Ste Ab, Quincy, IL 62301-2729 | 2020-09-21 |
| 1952915506 | Vip Labs LLC. | Clinical Medical Laboratory | 2555 Lincoln Hwy Ste 104, Olympia Fields, IL 60461-1938 | 2020-09-01 |
| 1538770276 | Precision Phlebotomy Inc | Clinical Medical Laboratory | 9241 S Roberts Rd, Hickory Hills, IL 60457-3809 | 2020-08-15 |
| 1316558182 | Southwest Medical Solutions Inc | Clinical Medical Laboratory | 5533 W 109th St Ste 101, Oak Lawn, IL 60453-5058 | 2020-08-13 |
| 1083232946 | Sjs Medical Labs, LLC D/b/a Arcpoint Labs of Libertyville | Clinical Medical Laboratory | 1659 Northwind Blvd, Libertyville, IL 60048-9613 | 2020-07-08 |
| 1922625961 | Abil Corporation | Clinical Medical Laboratory | 1375 Remington Rd Ste A, Schaumburg, IL 60173-4844 | 2020-06-25 |
| 1588280622 | Radiance Biosciences and Consultancy, LLC | Clinical Medical Laboratory | 1260 Iroquois Ave Ste 302, Naperville, IL 60563-8549 | 2020-06-24 |
| 1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
| 1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
| 1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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| City | PARK RIDGE |
| Zip Code | 60068 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.