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General NPI Number Information
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NPI Number | 1639737307
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Entity Type | Organization
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Legal Business Name | LIFECARE IMAGING INC
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Dates
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Enumeration Date | 05/29/2019
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 1631 RAND RD STE C
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City | DES PLAINES
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State | IL
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Zip | 60016-3551
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Country | US
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Telephone | 312-799-9556
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 RAND RD STE C
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City | DES PLAINES
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State | IL
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Zip | 60016-3551
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Country | US
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Telephone | 312-799-9556
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDUL RAFEY KHAN
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Credential |
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Telephone | 312-799-9556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State |
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