| Organization Name: | XCEL DIAGNOSTICS LLC |
| NPI Number: | 1770917288 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELLIOTE LATINIK (OWNER) |
| Mailing Address: | 7444 W Wilson Ave Harwood Heights |
| State: | IL US |
| Postal Code: | 607064549 |
| Phone Number: | 8472328801 |
| Fax Number: | 8472327602 |
| NPI Enumeration Date: | 09/03/2013 |
| NPI Last Update Date: | 03/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0208X |
| License Number: | 04487494 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Radiology, Mobile |
| Taxonomy Definition: | |