National Provider Identifier Database

PRIME MEDICAL IMAGING LLC
Physiological Laboratory, (Independent Physiological Lab)

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.


Contact Information

PRIME MEDICAL IMAGING, LLC
10260 191ST ST
MOKENA, IL60448-8801
Phone: 708-215-3899
Fax:
Website:
Specialty Taxonomy Code
* Physiological Laboratory, (Independent Physiological Lab) 293D00000X
Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for PRIME MEDICAL IMAGING, LLC

NPI Number 1962974527
Legal business name
LBN
PRIME MEDICAL IMAGING, LLC
Authorized official MARINA ROSSOMAKHA - (CREDENTIALING SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 12/20/2018
Last updated 06/27/2025 - About 11 months ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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