PRI DIAGNOSTICS, LLC. (NPI# 1306873377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306873377 |
| Entity Type | Organization |
| Organization Name | PRI DIAGNOSTICS, LLC. |
| Practice Address |
1456 Momentum Pl Chicago IL 60689-5314 |
| Mailing Address |
22285 Pepper Rd Lake Barrington IL 60010 |
| Practice Telephone | 8472770936 |
| Practice Fax Number | 8472770945 |
| Mailing Telephone | 8472770936 |
| Mailing Fax Number | 8472770945 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM ERBES (PRINCIPAL) |
| Authorized Official Telephone | 8472770936 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
01195492 | IL | Ambulatory Health Care Facilities |
| Street Address |
1456 MOMENTUM PL |
| City | CHICAGO |
| State | IL |
| Zip Code | 60689-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568457604 | Robert J Houser | Physician Assistant | 3565 Momentum Pl, Chicago, IL 60689 | 2005-09-14 |
| 1851833420 | Meghan Kelly | Physician Assistant | 2513 Momentum Pl, Chicago, IL 60689 | 2016-11-14 |
| 1124401179 | Omni Youth Services, Inc. | Clinic/Center | 1111 W Lake Cook Rd, Buffalo Grove, IL 60689 | 2015-07-08 |
| 1457881682 | Jennifer J Rogulic | Registered Nurse | 3461 Momentum Pl, Chicago, IL 60689-0001 | 2017-06-20 |
| 1417195421 | Robin A Williams | Dietitian, Registered | 2063 Momentum Pl, Chicago, IL 60689-0001 | 2009-01-29 |
| 1073535845 | Gary Gray Physical Therapy Clinic Inc. | Occupational Therapist | 2408 Momentum Pl, Chicago, IL 60689-0001 | 2006-07-24 |
| 1023064144 | Eastern Iowa Therapeutics PC | Physical Therapist | 2406 Momentum Pl, Chicago, IL 60689-0001 | 2006-05-26 |
| 1851812788 | Jessica Sefton | Physician Assistant | 3461 Momentum Pl, Chicago, IL 60689-0001 | 2017-06-30 |
| 1376651489 | Matrix LLC | Skilled Nursing Facility | 1603 Momentum Pl, Chicago, IL 60689-5316 | 2006-08-28 |
| 1588118285 | Elishba Sinha | Nurse Practitioner | 2447 Momentum Pl, Chicago, IL 60689-5325 | 2016-08-10 |
| Find all providers in zip 60689 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1578920401 | Hope Women's Imaging and Medical Center, LLC | Clinic/Center | 3517 W Devon Ave, Chicago, IL 60659-1305 | 2016-01-22 |
| 1679996482 | Vision Imaging Professionals | Clinic/Center | 833 W 15th Pl Unit 314, Chicago, IL 60608-1848 | 2014-01-29 |
| 1265765218 | 4365 Archer Mri, LLC | Clinic/Center | 4365 South Archer Avenue, Chicago, IL 60632 | 2009-09-09 |
| 1881827251 | Archer Kedzie Imaging LLC | Clinic/Center | 4365 S Archer Ave, Chicago, IL 60632-2826 | 2009-09-01 |
| 1386767937 | Resurrection Services | Clinic/Center | 3101 N Harlem Ave, Resurrection Open Mri Imaging Center, Chicago, IL 60634-4532 | 2007-04-09 |
| 1821132127 | Advanced Diagnostics, Sc | Clinic/Center | 2300 W. Peterson Avenue, Chicago, IL 60659-5242 | 2007-02-19 |
| 1366490021 | Hawthorne Works Medical Imaging, LLC | Clinic/Center | 4701 W Cermak Rd, Chicago, IL 60804-2508 | 2006-05-05 |
| 1053309377 | Regional Diagnostics, LLC | Clinic/Center | 4351 N Cicero Ave, Chicago, IL 60641-1502 | 2005-10-11 |
| Find all providers in CHICAGO | ||||
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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.