{
"Npi": {
"NPI": "1487940417",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PROMPT CARE DIAGNOSTICS INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "900 JORIE BLVD",
"SecondLineMailingAddress": "STE 14-4",
"MailingAddressCityName": "OAK BROOK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60523-2213",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "630-376-6736",
"MailingAddressFaxNumber": "630-568-3754",
"FirstLinePracticeLocationAddress": "900 JORIE BLVD",
"SecondLinePracticeLocationAddress": "STE 14-4",
"PracticeLocationAddressCityName": "OAK BROOK",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60523-2213",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "630-376-6736",
"PracticeLocationAddressFaxNumber": "630-568-3754",
"EnumerationDate": "06/28/2011",
"LastUpdateDate": "07/17/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ALI",
"AuthorizedOfficialFirstName": "MEHDI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "630-568-3752",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QR0208X",
"TaxonomyName": "Mobile Radiology Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}