Organization Name: | MEDCO DIAGNOSTIC IMAGING INC |
NPI Number: | 1003969841 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOE ANTHONY GERACI (PRESIDENT) |
Mailing Address: | 900 E Diehl Road Suite 141 Naperville |
State: | IL US |
Postal Code: | 605632391 |
Phone Number: | 6302459970 |
Fax Number: | 6302459974 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 06/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 293D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Laboratories |
Taxonomy Classification: | Physiological Laboratory |
Taxonomy Specialization: | |
Taxonomy Definition: | A laboratory that operates independently of a hospital and physician |