FOREST CITY DIAGNOSTIC IMAGING LLC; NPI #1386755700

Contact Information

FOREST CITY DIAGNOSTIC IMAGING LLC

735 N PERRYVILLE RD
ROCKFORD, IL 61107-6200

Phone: 815-398-1300
Fax: 815-398-3797
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for FOREST CITY DIAGNOSTIC IMAGING LLC

NPI # 1386755700

LBN Legal business name FOREST CITY DIAGNOSTIC IMAGING LLC

Authorized official PATRICIA WABICK - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/31/2006

Last updated 06/12/2019 - About 7 years ago

Identifiers

	Other	10123287	BC BS
	Other	470000357	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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