Dental Diagnostic Imaging

LBN: Dental Diagnostic Imaging
Dental Diagnostic Imaging is an health care organization with primary practice located at 1201 S Prairie Ave 4901, Chicago IL 60605-3325. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Radiology, which is considered as the primary health care specialty. Dental Diagnostic Imaging can be contacted via phone (312) 966-6307, or through Sadrameli, Mitra via phone (312) 966-6307.

Contact Information

Primary practice address
1201 S Prairie Ave 4901 Chicago IL 60605-3325
Phone: (312) 966-6307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sadrameli, Mitra DMD, MS
Phone: (312) 966-6307

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Radiology 1223X0008X 019.030434 Illinois

Profile Details

NPI number 1942653738
LBN Legal business name Dental Diagnostic Imaging
DBA Doing business as
Authorized official Sadrameli, Mitra DMD, MS
Entity Organization
Organization subpart 1 No
Enumeration date Jul 18th, 2016
Last updated Jul 18th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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