Amic Merrionette Park

LBN: Metropolitan Diagnostic Imaging
Amic Merrionette Park is an health care organization with primary practice located at 11600 S Kedzie Ave , Merrionette Park IL 60803-6302. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Metropolitan Diagnostic Imaging can be contacted via phone (708) 377-3730, or through Smith, Michelle via phone (312) 807-3550.

Contact Information

Primary practice address
11600 S Kedzie Ave Merrionette Park IL 60803-6302
Phone: (708) 377-3730
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Michelle
Phone: (312) 807-3550

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1518131606
LBN Legal business name Metropolitan Diagnostic Imaging
DBA Doing business as Amic Merrionette Park
Authorized official Smith, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2008
Last updated Apr 20th, 2008 - about 16 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 1518131606 NPPES
Illinois Other 21621866 BLUE CROSS BLUE SHIELD

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