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Suburban Diagnostic Inc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Plainfield, Illinois
NPI 1740406107

Suburban Diagnostic Inc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Plainfield, IL. Suburban Diagnostic Inc practices in Plainfield, IL. The NPI Number for Suburban Diagnostic Inc is 1740406107 and holds a License No. 500483643 (Illinois).

The current practice location address for Suburban Diagnostic Inc is 11600 Legacy Dr, Plainfield, IL and can be reached out via phone at 815-577-8200 and via fax at 815-577-8300.

Location: 11600 Legacy Dr, Plainfield, IL, 60585-5194
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740406107
Provider Name
Suburban Diagnostic Inc
Credential
Provider Entity Type
Organization
Address
11600 Legacy Dr, Plainfield, IL, 60585-5194
Phone Number
815-577-8200
Fax Number
815-577-8300
Provider Enumeration Date
04/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
364369726001 05 IL
09932186 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
11600 Legacy Dr
City
Plainfield
State
Illinois
Zip
60585-5194
Phone Number
815-577-8200
Fax Number
815-577-8300
person
Provider Business Mailing Address Details
Address
11600 Legacy Dr
City
Plainfield
State
Illinois
Zip
60585-5194
Phone Number
815-577-8200
Fax Number
815-577-8300
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
500483643 (Illinois)
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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