PRIME MEDICAL IMAGING, LLC – NPI #1962974527
Physiological Laboratory

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

PRIME MEDICAL IMAGING, LLC is a physiological laboratory located in MOKENA, IL. NPPES has assigned the NPI number 1962974527 to PRIME MEDICAL IMAGING, LLC on December 20, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 293D00000X from the Health Care Provider Taxonomy code set, which is classified as Physiological Laboratory.

The NPI profile was last updated on Jun 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PRIME MEDICAL IMAGING, LLC below.

NPI Profile for
PRIME MEDICAL IMAGING, LLC

NPI Number
1962974527
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PRIME MEDICAL IMAGING, LLC
Primary location
10260 191ST ST
MOKENA, IL 60448-8801
Phone: (708) 215-3899 Fax:
Mailing address
8930 WAUKEGAN RD STE 130
MORTON GROVE, IL 60053-2132
Phone: (847) 929-5460 Fax: (847) 929-5461
Organization Subpart
No
Authorized Official
MARINA ROSSOMAKHA
CREDENTIALING SPECIALIST
Phone: (847) 929-5482
Updated
Certification Date
Jun 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
293D00000X
- Physiological Laboratory (Primary)
2085R0202X
- Radiology / Diagnostic Radiology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.