LAKEVIEW DIAGNOSTICS INC NPI 1093810681

NPI Information

  • NPI: 1093810681
  • Provider Name: LAKEVIEW DIAGNOSTICS INC
  • Classification: Radiologic Technologist - 2471S1302X
  • Specialization: Sonography
  • Entity Type: Organization
  • Address: 708 LAVERGNE AVE
    WILMETTE, IL
    ZIP 60091
  • Phone: (773) 910-0193

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NPI Details

LAKEVIEW DIAGNOSTICS INC is a sonography radiologic technologist in Wilmette, IL. The provider is a radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care. LAKEVIEW DIAGNOSTICS INC NPI is 1093810681. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

708 LAVERGNE AVE
WILMETTE, IL
ZIP 60091-028
Phone: (773) 910-0193
Fax: (773) 637-2006

The provider's authorized official is Azam Abbasi .
The authorized official title is President and has the following contact phone number (773) 910-0193.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 4/20/2016.

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
12471S1302XRadiologic TechnologistSonography036064756ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11633943OTHERILLINOISBLUE SHIELD OF IL
2208188MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
3=========OTHERILLINOISEIN
4036064756MEDICAIDILLINOIS

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: 11/21/2025

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