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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Physiological Laboratory, (Independent Physiological Lab) |
293D00000X | 47 | Independent Diagnostic Testing Facility (IDTF) | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology |
| NPI # | 1962974527 |
| LBN Legal business name | PRIME MEDICAL IMAGING, LLC |
| Authorized official | MARINA ROSSOMAKHA - (CREDENTIALING SPECIALIST) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/20/2018 |
| Last updated | 06/27/2025 - About 11 months ago |
| Identifiers | n/a |
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| ADVANCED MIDWEST RADIOLOGY S C 1900 SILVER CROSS BLVD NEW LENOX, IL |
| PROGRESSIVE RADIOLOGY OF ILLINOIS, LLC 7711 W 159TH ST TINLEY PARK, IL |
| PALOS IMAGING, LLC 15300 WEST AVENUE ORLAND PARK, IL |
| NIVEDITA J DAVE, MD 15900 S CICERO AVE OAK FOREST, IL |
| PARESH DIXIT, MD 12251 S. 80TH AVE PALOS HEIGHTS, IL |
| ELKE AIPPERSBACH, M.D.,M.SC., 17750 S. KEDZIE AVE. HAZEL CREST, IL |
| JOLIET RADIOLOGICAL SERVICE CORP 333 N MADISON ST JOLIET, IL |
| TERRY K KUSHNER, MD 333 N MADISON JOLIET, IL |
| MICKEY B JESTER, DO ST. JOSEPH HOSPITAL JOLIET, IL |
| CHARISA M SPOO, DO 4440 W 95TH OAK LAWN, IL |
PRIME MEDICAL IMAGING, LLC