Organization
MEDI-RAY PORTABLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIV R KUMAR (PRESIDENT)
(773) 594-0780
Entity
Organization
Contact information
Practice address
7132 N HARLEM AVE STE 104, CHICAGO, IL 60631-1086
(773) 594-0780
(773) 945-6742
Mailing address
7132 N HARLEM AVE STE 104, CHICAGO, IL 60631-1086
(773) 594-0780
(773) 945-6742
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
209859
IL
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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