Provider Demographics
NPI:1710153473
Name:ASCOT DIAGNOSTIC SERVICES INC.
Entity Type:Organization
Organization Name:ASCOT DIAGNOSTIC SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NIMRATA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAINTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-884-7090
Mailing Address - Street 1:2200 W HIGGINS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2428
Mailing Address - Country:US
Mailing Address - Phone:847-884-7090
Mailing Address - Fax:847-884-7133
Practice Address - Street 1:2200 W HIGGINS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-2428
Practice Address - Country:US
Practice Address - Phone:847-884-7090
Practice Address - Fax:847-884-7133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL215993OtherMEDICARE PTAN