MDS-MOBILE DIAGNOSTIC SERVICES, INC


Address: 8770 W Bryn Mawr Ave, Chicago, IL 60631-3515
Phone: 7732534963

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335V00000X Portable X-ray and/or Other Portable Diagnostic Imaging Supplier Suppliers

Other Provider/Organization Names

Other Name Type Code
MDS Other Name - Individual/Organization

Office Location

Street Address 8770 W BRYN MAWR AVE
City CHICAGO
State IL
Zip Code 60631-3515

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 335V00000X
Grouping Suppliers
Classification Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City CHICAGO
Zip Code 60631

Improve Information

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Dataset Information

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.

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