PLATINUM DIAGNOSTIC LLC NPI 1134362239

NPI Information

NPI: 1134362239
Provider Name: PLATINUM DIAGNOSTIC, LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
2820 W DEVON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 262-4344
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PLATINUM DIAGNOSTIC, LLC is a radiology and mobile clinic center in Chicago, IL. PLATINUM DIAGNOSTIC, LLC NPI is 1134362239. The provider is registered as an organization entity type.

The provider's business location address is:

2820 W DEVON AVE
CHICAGO, IL
ZIP 60659-502
Phone: (773) 262-4344
Fax: (773) 764-3225

The provider's authorized official is Manoj Kumar .
The authorized official title is Member and has the following contact phone number (773) 262-4344.

The enumeration date for this NPI number is 4/20/2009 and was last updated on 4/20/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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