Organization Name: | AMR ENTERPRISES LLC |
NPI Number: | 1003226960 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMJAD ALI SAFVI (MEDICAL DIRECTOR) |
Mailing Address: | 2200 S Main St Ste 206 Lombard |
State: | IL US |
Postal Code: | 601485365 |
Phone Number: | 6305193485 |
Fax Number: | 6302308386 |
NPI Enumeration Date: | 05/01/2014 |
NPI Last Update Date: | 07/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | 036-099445 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |