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Organization

LAKESIDE MEDICAL IMAGING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY ADAMS (PRESIDENT)
(469) 362-6909
Entity
Organization

Contact information

Practice address
1154 N MAIN ST, ALGONQUIN, IL 60102-3482
(847) 458-1460
(847) 458-1942
Mailing address
PO BOX 674351, DALLAS, TX 75267-4351
(847) 458-1460
(847) 458-1942

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary

Other

Enumeration date
03/29/2013
Last updated
03/29/2013
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