MDS-MOBILE DIAGNOSTIC SERVICES, INC (NPI# 1669430690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669430690 |
Entity Type | Organization |
Organization Name | MDS-MOBILE DIAGNOSTIC SERVICES, INC |
Other Organization Name | MDS |
Practice Address |
8770 W Bryn Mawr Ave Chicago IL 60631-3515 |
Practice Telephone | 7732534963 |
Mailing Telephone | 7732534963 |
Enumeration Date | 2006-05-01 |
Last Update Date | 2009-03-25 |
Authorized Official Name | MRS. FAITH A CAMPBELL (PRESIDENT) |
Authorized Official Telephone | 2173784588 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
Other Name | Type Code |
---|---|
MDS | Other Name - Individual/Organization |
Street Address |
8770 W BRYN MAWR AVE |
City | CHICAGO |
State | IL |
Zip Code | 60631-3515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750350187 | Angela S Lew | Psychologist | 8770 W Bryn Mawr Ave, Suite 1300, Chicago, IL 60631-3515 | 2006-03-17 |
1437476231 | Rj Central Inc | General Practice | 8770 W Bryn Mawr Ave, Suite 1300, Chicago, IL 60631-3515 | 2010-05-03 |
1245484286 | Elliot P. Schlang, Dds PC | Dentist | 8770 W Bryn Mawr Ave, Suite 1300, Chicago, IL 60631-3515 | 2008-11-04 |
1245410984 | Rita Diana Philip | Dentist | 8770 W Bryn Mawr Ave, Suite 1300, Chicago, IL 60631-3515 | 2007-11-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
Find all providers in zip 60631 |
Taxonomy Code | 335V00000X |
Grouping | Suppliers |
Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639695257 | Go Diagnostics Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5862 N Lincoln Ave, Suite 4, Chicago, IL 60659 | 2017-08-15 |
1871869552 | Us Services | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6205 N Milwaukee Ave, Chicago, IL 60646-3730 | 2012-03-28 |
1497942478 | Continental Portable X-ray Service | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6016 W Barry Ave, Chicago, IL 60634-5105 | 2007-10-03 |
1154949329 | Apex Diagnostics Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2020-07-14 |
1659739910 | Minimally Invasive Therapy Partners Sc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 5011 N Lincoln Ave, Chicago, IL 60625-6351 | 2016-02-02 |
1700260577 | Medstar Diagnostic Services Incorporated | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2015-07-11 |
1033532973 | Minimally Invasive Therapy Partners Sc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 660 W Wayman St, 204b, Chicago, IL 60661-1296 | 2014-01-29 |
1720366701 | Dawn Diagnostics Imaging Group Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2900 W Peterson Ave, Suite 6, Chicago, IL 60659-3818 | 2011-07-25 |
1669705125 | Medlife Healthcare Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2009-09-15 |
1497918247 | Care Diagnostic Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7459 N Western Ave, Chicago, IL 60645-1735 | 2008-07-02 |
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.