Healthcare Provider Details
I. General information
NPI: 1710153473
Provider Name (Legal Business Name): ASCOT DIAGNOSTIC SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/02/2008
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2200 W HIGGINS RD SUITE 300
HOFFMAN ESTATES IL
60169-2428
US
IV. Provider business mailing address
2200 W HIGGINS RD SUITE 300
HOFFMAN ESTATES IL
60169-2428
US
V. Phone/Fax
- Phone: 847-884-7090
- Fax: 847-884-7133
- Phone: 847-884-7090
- Fax: 847-884-7133
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335V00000X |
| Taxonomy | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
NIMRATA
KAINTH
Title or Position: CEO
Credential:
Phone: 847-884-7090