MEDSTAR DIAGNOSTIC SERVICES INCORPORATED (NPI# 1700260577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700260577 |
| Entity Type | Organization |
| Organization Name | MEDSTAR DIAGNOSTIC SERVICES INCORPORATED |
| Practice Address |
6374 N Lincoln Ave Ste 310 Chicago IL 60659-1283 |
| Practice Telephone | 7734633430 |
| Practice Fax Number | 7734633436 |
| Mailing Telephone | 7734633430 |
| Mailing Fax Number | 7734633436 |
| Enumeration Date | 2015-07-11 |
| Last Update Date | 2019-08-14 |
| Authorized Official Name | MUNAWAR KAMAL (PRESIDENT) |
| Authorized Official Telephone | 7733969655 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598149544 | Medstar Diagnostic Services Incorporated | Family Medicine | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2015-07-18 |
| 1952792996 | Medstar Diagnostic Services Incorporated | General Practice | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2015-02-12 |
| Street Address |
6374 N LINCOLN AVE STE 310 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60659-1283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720261746 | Medlife Healthcare Inc. | Clinic/Center | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2007-12-13 |
| 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 |
| 1649895871 | Apex Labs Inc | Clinical Medical Laboratory | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2020-06-12 |
| 1598149544 | Medstar Diagnostic Services Incorporated | Family Medicine | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2015-07-18 |
| 1952792996 | Medstar Diagnostic Services Incorporated | General Practice | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2015-02-12 |
| 1558778696 | Medstar Diagnostics Inc | Clinic/Center | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2014-07-21 |
| 1588974174 | Ioan D Cheregi Md Sc | Clinic/Center | 6374 N Lincoln Ave Ste 310, Chicago, IL 60659-1283 | 2010-10-15 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811425 | Devon Homecare Physicians Inc. | Family Medicine | 2822 W. Granville Ave. Apt 1, Chicago, IL 60659 | 2020-11-03 |
| 1932724200 | Tatyana Menaker | Nurse Practitioner | 2958 West Devon Ave, Chicago, IL 60659 | 2020-06-12 |
| 1508410069 | Kara Lyn Anderson | Counselor | 2551 W. Peterson Ave, Chicago, IL 60659 | 2019-08-01 |
| 1568980019 | Saba Suleman | Counselor | 5815 N Spaulding Ave Apt 3a, Chicago, IL 60659 | 2017-09-05 |
| 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 |
| 1972039568 | Trilogy, Inc. | Community/Behavioral Health | 2551 W Peterson Ave, Chicago, IL 60659 | 2017-05-03 |
| 1689029050 | Soulu | Voluntary or Charitable | 3557 W Peterson Ave #122, Chicago, IL 60659 | 2016-05-04 |
| 1730540550 | Michael Wei-tsi Chien | Dentist | 3425 W Peterson Ave Ste 107, Chicago, IL 60659 | 2016-03-08 |
| 1497129688 | Acquaint Homecare LLC | Home Health | 3525 West Peterson Avenue, Unit 118, Chicago, IL 60659 | 2015-11-25 |
| 1083054621 | Rebecca Schnell | Speech-Language Pathologist | 6124 N Saint Louis Ave, Chicago, IL 60659 | 2013-06-27 |
| Find all providers in zip 60659 | ||||
| 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 |
| 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 |
| 1528229861 | Cal Devon Urgent Care Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6415 N California Ave, Chicago, IL 60645-5208 | 2008-06-19 |
| 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.