DIVISION MRI, INC.


Address: 2618 W Division St, Chicago, IL 60622-7107
Phone: 7732357455

DIVISION MRI, INC. (NPI# 1780826230) 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) 1780826230
Entity Type Organization
Organization Name DIVISION MRI, INC.
Practice Address 2618 W Division St
Chicago
IL 60622-7107
Mailing Address Po Box 220450
Chicago
IL 60622-0450
Practice Telephone 7732357455
Practice Fax Number 7732357055
Mailing Telephone 7732357455
Mailing Fax Number 7732357055
Enumeration Date 2009-03-30
Last Update Date 2010-01-07
Authorized Official Name DR. AMER RUSTUM (OWNER/PRESIDENT)
Authorized Official Telephone 7734563384
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 293D00000X Physiological Laboratory Laboratories

Office Location

Street Address 2618 W DIVISION ST
City CHICAGO
State IL
Zip Code 60622-7107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336597418 Connor Williams Social Worker 2618 W Division St, Chicago, IL 60622-7107 2016-05-30
1427403708 Elizabeth Foley-campos Massage Therapist 2618 W Division St, Chicago, IL 60622-7107 2016-04-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1447880471 Erikson Institute Clinic/Center 2739 W Division St, Chicago, IL 60622 2020-01-17
1720620545 Emily Claire Bonanno Counselor 1397 N Miwaukee Ave, Chicago, IL 60622 2019-10-14
1891342093 Taylor Mallon Speech-Language Pathologist 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 2019-08-22
1083260277 Maggie Inman Student in an Organized Health Care Education/Training Program 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 2019-08-13
1174176168 Karol Maricel Quelal Analuisa Internal Medicine 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 2019-07-19
1073076105 Nichole Galullo Social Worker 1431 N Claremont 2nd Floor, Chicago, IL 60622 2019-04-06
1003375122 Alfredo Delgado Perez Sr. Psychologist 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 2019-03-18
1841773439 Abigail Hector Counselor 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 2018-09-11
1164916144 Dorothy Mitkowski Student in an Organized Health Care Education/Training Program 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 2018-06-21
1255825121 Kara Lynn Daniel Speech-Language Pathologist 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 2018-06-14
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Taxonomy Information

Taxonomy Code 293D00000X
Grouping Laboratories
Classification Physiological Laboratory

Taxonomy Definition

A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336399583 Univ. of Illinois At Chicago Physiological Laboratory 851 S Morgan St, Seo, Mc 063, Room 218, Chicago, IL 60607-7042 2008-09-24
1679522643 Insight Health Corp Physiological Laboratory 6857 S Pulaski Rd, Chicago, IL 60629-4151 2006-05-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710587852 Express Medical Labs LLC Physiological Laboratory 9830 Ridgeland Ave Ste 115, Chicago Ridge, IL 60415-2667 2020-10-28
1538532874 Braincare, LLC Physiological Laboratory 1 Bio Logic Plz, Ste 1, Mundelein, IL 60060-3708 2015-11-09
1174901920 Midwest Diagnostics Incorporated Physiological Laboratory 1555 S Redwood Dr, Mt Prospect, IL 60056-4906 2015-05-13
1023406477 Physician Imaging Solutions Inc Physiological Laboratory 24012 W Lockport St, Suite 2e, Plainfield, IL 60544-2280 2015-01-07
1356752620 Primera Healthcare Solutions, Inc. Physiological Laboratory 3340 Dundee Rd Ste 2c4, Northbrook, IL 60062-2331 2014-05-08
1053619742 Valley Regional Health Services L3c Physiological Laboratory 4391 Venture Dr, Peru, IL 61354-1014 2011-03-04
1710130539 Irhythm Technologies, Inc. Physiological Laboratory 2 Marriott Dr, Lincolnshire, IL 60069-3700 2008-10-23
1407043581 Effingham Sleep Center, Inc Physiological Laboratory 2313 Hoffman Dr, Effingham, IL 62401-2839 2007-10-02
1003969841 Medco Diagnostic Imaging Inc Physiological Laboratory 900 E Diehl Road, Suite 141, Naperville, IL 60563-2391 2007-01-18
1558440768 Snap Laboratories International, LLC Physiological Laboratory 5210 Capitol Dr, Wheeling, IL 60090-7901 2006-11-06
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Competitor

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City CHICAGO
Zip Code 60622

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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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