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General NPI Number Information
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NPI Number | 1811285018
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Entity Type | Organization
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Legal Business Name | NATIONAL DIAGNOSTIC SERVICES, INC.
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 330 E ROOSEVELT RD SUITE# 2G
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City | LOMBARD
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State | IL
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Zip | 60148-4640
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Country | US
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Telephone | 630-673-0756
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Fax |
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Provider Business Mailing Address
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Address Line | 330 E ROOSEVELT RD SUITE# 2G
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City | LOMBARD
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State | IL
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Zip | 60148-4640
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Country | US
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Telephone | 630-673-0756
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MUHAMMAD ARIF RAISANI
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Credential |
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Telephone | 630-673-0756
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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 | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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