PALOS IMAGING LLC NPI 1417305350

NPI Information

  • NPI: 1417305350
  • Provider Name: PALOS IMAGING, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 14D2121117
  • Address: 15300 WEST AVENUE
    ORLAND PARK, IL
    ZIP 60462
  • Phone: (708) 226-2500

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NPI Details

PALOS IMAGING, LLC is a diagnostic radiology radiology in Orland Park, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PALOS IMAGING, LLC NPI is 1417305350. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15300 WEST AVENUE
ORLAND PARK, IL
ZIP 60462
Phone: (708) 226-2500
Fax: (708) 226-2509

The provider's authorized official is Terrence Moisan .
The authorized official title is President and has the following contact phone number (708) 923-5000.

The CLIA number assigned to this NPI record is 14D2121117 - other - imaging diagnostic lab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2016 and was last updated on 3/6/2017.

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
12085R0202XRadiologyDiagnostic RadiologyYes

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: 3/30/2025

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