Organization
ROUND LAKE MRI, INC
Active
Parent organization
ROUND LAKE MEDICAL IMAGING INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROUND LAKE MEDICAL IMAGING INC
Authorized official
MR. JOSE THENGANATT RT(R) (TECHNICAL DIRECTOR)
(847) 546-3600
Entity
Organization
Contact information
Practice address
720 E ROLLINS RD, ROUND LAKE BEACH, IL 60073-1340
(847) 546-3600
(847) 546-3633
Mailing address
720 E ROLLINS RD, ROUND LAKE BEACH, IL 60073-1340
(847) 546-3600
(847) 546-3633
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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