Organization
MEDCO DIAGNOSTIC IMAGING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE ANTHONY GERACI (PRESIDENT)
(630) 245-9970
Entity
Organization
Contact information
Practice address
900 E DIEHL ROAD, SUITE 141, NAPERVILLE, IL 60563-2391
(630) 245-9970
(630) 245-9974
Mailing address
900 E DIEHL ROAD, SUITE 141, NAPERVILLE, IL 60563-2391
(630) 245-9970
(630) 245-9974
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2219737
BCBS
—
01
—
300119392
MEDICARE RAILROAD
IL
Enumeration date
01/18/2007
Last updated
06/09/2008
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