PRIME MEDICAL IMAGING LLC NPI 1962974527

NPI Details

PRIME MEDICAL IMAGING, LLC is a physiological laboratory in Mokena, IL. The provider is 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. PRIME MEDICAL IMAGING, LLC NPI is 1962974527. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10260 191ST ST
MOKENA, IL
ZIP 60448-801
Phone: (708) 215-3899

The provider's authorized official is Marina Rossomakha .
The authorized official title is Credentialing Specialist and has the following contact phone number (847) 929-5482.

The CLIA number assigned to this NPI record is 14D2163642 - independent with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
• Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
• Screening mammography (HCPCS:77067)
• Screening 3d breast mammography (HCPCS:77063)
• X-ray of chest, 2 views (HCPCS:71046)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Ct scan of chest with contrast (HCPCS:71260)
• Ct scan of chest without contrast (HCPCS:71250)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Mri scan of pelvis before and after contrast (HCPCS:72197)
• Mri scan of arm joint without contrast (HCPCS:73221)
• 3d radiographic procedure with computerized image postprocessing (HCPCS:76377)
• Mri scan of leg joint without contrast (HCPCS:73721)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• Ct scan of arm without contrast (HCPCS:73200)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Mri scan of brain without contrast (HCPCS:70551)
• Mri scan of brain before and after contrast (HCPCS:70553)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• Mri scan of middle spinal canal without contrast (HCPCS:72146)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Ct scan head or brain without contrast (HCPCS:70450)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Diagnostic mammography of both breasts (HCPCS:77066)
• Complete ultrasound scan of pelvis (HCPCS:76856)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina (HCPCS:76830)
• Mri scan of abdomen before and after contrast (HCPCS:74183)
• X-ray of knee, 4 or more views (HCPCS:73564)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• 3d radiographic procedure (HCPCS:76376)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Ct scan of leg without contrast (HCPCS:73700)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Ultrasound of leg arteries or artery grafts (HCPCS:93925)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Mri scan of leg without contrast (HCPCS:73718)

The enumeration date for this NPI number is 12/20/2018 and was last updated on 6/27/2025.

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: