| Organization Name: | EXCELL PORTABLE X-RAY SERVICE INC |
| NPI Number: | 1467418137 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILYNE C MASING (OFFICE ADMINISTRATOR) |
| Mailing Address: | 2362 Lehman Dr West Chicago |
| State: | IL US |
| Postal Code: | 601856169 |
| Phone Number: | 6307628863 |
| Fax Number: | 6307628864 |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 05/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 9251659 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| 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. |