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LAKESIDE MEDICAL IMAGING LLC NPI 1609119585


NPI Information

NPI: 1609119585
Provider Name: LAKESIDE MEDICAL IMAGING LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
1154 N MAIN ST
ALGONQUIN, IL
ZIP 60102
Phone: (847) 458-1460
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LAKESIDE MEDICAL IMAGING LLC is a magnetic resonance imaging (mri) clinic center in Algonquin, IL. LAKESIDE MEDICAL IMAGING LLC NPI is 1609119585. The provider is registered as an organization entity type.

The provider's business location address is:

1154 N MAIN ST
ALGONQUIN, IL
ZIP 60102-482
Phone: (847) 458-1460
Fax: (847) 458-1942

The provider's authorized official is Amy Adams .
The authorized official title is President and has the following contact phone number (469) 362-6909.

The enumeration date for this NPI number is 3/29/2013 and was last updated on 3/29/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.