Healthcare Provider Details

I. General information

NPI: 1639737307
Provider Name (Legal Business Name): LIFECARE IMAGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2019
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 N WAUKEGAN RD STE 107
NILES IL
60714-4545
US

IV. Provider business mailing address

7400 N WAUKEGAN RD STE 107
NILES IL
60714-4545
US

V. Phone/Fax

Practice location:
  • Phone: 800-919-1761
  • Fax:
Mailing address:
  • Phone: 800-919-1761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: SYED OMER RAZVI
Title or Position: PRESIDENT
Credential:
Phone: 800-919-1761