Provider Demographics
NPI:1497952618
Name:QUAZI MOBILE IMAGING AND DIAGNOSTICS
Entity Type:Organization
Organization Name:QUAZI MOBILE IMAGING AND DIAGNOSTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAVEED
Authorized Official - Middle Name:F
Authorized Official - Last Name:QUAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-387-2503
Mailing Address - Street 1:7102 DAILY ST
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60081
Mailing Address - Country:US
Mailing Address - Phone:847-387-2503
Mailing Address - Fax:
Practice Address - Street 1:7102 DAILY ST
Practice Address - Street 2:
Practice Address - City:SPRING GROVE
Practice Address - State:IL
Practice Address - Zip Code:60081
Practice Address - Country:US
Practice Address - Phone:847-387-2503
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier