PREMIERE IMAGING AND OPEN MRI INC (NPI# 1275906927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275906927 |
| Entity Type | Organization |
| Organization Name | PREMIERE IMAGING AND OPEN MRI INC |
| Other Organization Name | PREMIERE IMAGING AND OPEN MRI INC |
| Practice Address |
5600 W 87th St Ste 4 Burbank IL 60459-2902 |
| Practice Telephone | 7086343570 |
| Practice Fax Number | 7086343760 |
| Mailing Telephone | 7086343570 |
| Mailing Fax Number | 7086343760 |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2016-03-12 |
| Authorized Official Name | MR. SERAGE MOHAMMED RAHIMA (TECHNICAL DIRECTOR) |
| Authorized Official Telephone | 7089520000 |
| Authorized Official Credential | ARMRIT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premiere Imaging and Open MRI INC | Doing Business As Name - Organization |
| Street Address |
5600 W 87TH ST STE 4 |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
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| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710337357 | Burbank Imaging and Open Mri Inc | Clinic/Center | 333 E Magnolia Blvd Ste 104, #104, Burbank, CA 91502-1198 | 2016-06-14 |
| 1073052569 | Med First Imaging Inc | Clinic/Center | 5600 W 87th St, Burbank, IL 60459-2902 | 2017-02-16 |
| 1306117817 | Theodore S. Feit, M.d., Inc. | Clinic/Center | 2601 W Alameda Ave, Suite 310, Burbank, CA 91505-4800 | 2012-01-16 |
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| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
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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.