Organization Name: | CENTRAL STATES IMAGING LLC |
NPI Number: | 1245283266 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAMES F. STANLEY (OFFICER (CFO)) |
Mailing Address: | 4 Cedar Ridge Drive Suite D Lake In The Hills |
State: | IL US |
Postal Code: | 60156 |
Phone Number: | 8474586736 |
Fax Number: | 8474586700 |
NPI Enumeration Date: | 05/19/2006 |
NPI Last Update Date: | 09/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |