Organization Name: | WEST REGIONAL MRI LTD PARTNERSHIP |
NPI Number: | 1174625164 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GAELANE ROSINSKI (CONTRACTING CREDENTIALING SPECIALIS) |
Mailing Address: | 7530 Woodward Ave Woodridge |
State: | IL US |
Postal Code: | 605173100 |
Phone Number: | 6304271500 |
Fax Number: | 6304271600 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/16/2007 |
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 |