Provider Demographics
NPI:1932137502
Name:MIDWEST IMAGING 1 INC
Entity Type:Organization
Organization Name:MIDWEST IMAGING 1 INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAIG
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:847-429-1099
Mailing Address - Street 1:64 N ALFRED AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-5284
Mailing Address - Country:US
Mailing Address - Phone:847-429-1099
Mailing Address - Fax:847-384-8140
Practice Address - Street 1:64 N ALFRED AVE STE A
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-5284
Practice Address - Country:US
Practice Address - Phone:847-429-1099
Practice Address - Fax:847-384-8140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Multi-Specialty