Liberty Diagnostic Services

LBN: Liberty Diagnostic Services
Liberty Diagnostic Services is an health care organization with primary practice located at 518 S Highway 31 , Mchenry IL 60050-7464. The organization recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Sonography, which is considered as the primary health care specialty. Liberty Diagnostic Services can be contacted via phone (815) 338-2411, or through Collett, Gary Lee via phone (815) 338-2411.

Contact Information

Primary practice address
518 S Highway 31 Mchenry IL 60050-7464
Phone: (815) 338-2411
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Collett, Gary Lee Registered Diagnostic Medical Sonographer (RDMS)
Phone: (815) 338-2411

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X

Profile Details

NPI number 1669742623
LBN Legal business name Liberty Diagnostic Services
DBA Doing business as
Authorized official Collett, Gary Lee Registered Diagnostic Medical Sonographer (RDMS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2012
Last updated Jan 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669742623 NPPES
Illinois MEDICAID 6019701

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