AMIC MERRIONETTE PARK – NPI #1518131606
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

AMIC MERRIONETTE PARK is a radiologist located in MERRIONETTE PARK, IL. NPPES has assigned the NPI number 1518131606 to AMIC MERRIONETTE PARK on April 18, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AMIC MERRIONETTE PARK” is a dba name, the actual legal business name for this organization is METROPOLITAN DIAGNOSTIC IMAGING. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 18 years ago on Apr 20, 2008. 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 AMIC MERRIONETTE PARK below.

NPI Profile for
METROPOLITAN DIAGNOSTIC IMAGING

NPI Number
1518131606
Enumeration Date

(more than 18 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
METROPOLITAN DIAGNOSTIC IMAGING
Doing Business As (dba): AMIC MERRIONETTE PARK
Primary location
11600 S KEDZIE AVE
MERRIONETTE PARK, IL 60803-6302
Phone: (708) 377-3730 Fax:
Mailing address
111 N WABASH AVE STE 620
CHICAGO, IL 60602-1914
Phone: Fax:
Organization Subpart
No
Authorized Official
MICHELLE SMITH
ACCT RECEIVABLE
Phone: (312) 807-3550
Updated
Identifiers

Identifiers for AMIC MERRIONETTE PARK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDIL21621866
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

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.