Provider Demographics
NPI:1639271620
Name:VISION DIAGNOSTICS INC.
Entity Type:Organization
Organization Name:VISION DIAGNOSTICS INC.
Other - Org Name:VISION MRI CT OF CAROL STREAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACTING CREDENTIALING SPECIAL
Authorized Official - Prefix:
Authorized Official - First Name:GAELANE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-658-0995
Mailing Address - Street 1:640 E SAINT CHARLES RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-3083
Mailing Address - Country:US
Mailing Address - Phone:630-462-0793
Mailing Address - Fax:630-462-1376
Practice Address - Street 1:640 E SAINT CHARLES RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-3083
Practice Address - Country:US
Practice Address - Phone:630-462-0793
Practice Address - Fax:630-462-1376
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory