# PROFESSIONAL DIAGNOSTIC SERVICES,INC

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

## Provider details

- **NPI number:** 1790312320
- **Authorized official:** RICHARD FELICELDA (ADMINISTRATOR)
- **Authorized official phone:** (847) 802-2288

## Contact information

- **Practice address:** 9213 PARKLANE AVE STE 1, FRANKLIN PARK, IL 60131-2837
- **Practice address phone:** (847) 227-8780
- **Mailing address:** 9213 PARKLANE AVE STE 1, FRANKLIN PARK, IL 60131-2837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 03/24/2020
- **Last updated:** 03/24/2020