# MIDWEST X-RAY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538225842
- **Authorized official:** MS. SANDY ASHBY RT (RADIOLOGY MANAGER)
- **Authorized official phone:** (812) 425-4682

## Contact information

- **Practice address:** 245 W ROOSEVELT RD, UNIT 77 BLDG 11, WEST CHICAGO, IL 60185-3739
- **Practice address phone:** (630) 293-8718
- **Practice address fax:** (630) 293-8724
- **Mailing address:** 1031 MOUNT AUBURN RD, EVANSVILLE, IN 47720-8226
- **Mailing address phone:** (812) 425-4682
- **Mailing address fax:** (812) 425-2564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9252963 | IL | Yes |

## Other

- **Enumeration date:** 12/29/2006
- **Last updated:** 08/22/2020