Organization
SPEED IMAGING LLC
Active
Organization
SPEED IMAGING LLC
Active
Other names
Speed Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED A ASHFAQ (MR)
(630) 656-1455
Entity
Organization
Contact information
Practice address
1263 S HIGHLAND AVE STE 2D, LOMBARD, IL 60148-4527
(630) 814-9911
Mailing address
1263 S HIGHLAND AVE STE 2D, LOMBARD, IL 60148-4527
(630) 814-9911
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
Primary
111990
IL
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
034872
IL
2471S1302X
Sonography Radiologic Technologist
111990
IL
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
03/19/2013
Last updated
04/05/2022
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