Provider Demographics
NPI:1336320001
Name:VALLEY IMAGING VT, LLC
Entity Type:Organization
Organization Name:VALLEY IMAGING VT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:
Authorized Official - Last Name:AKBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-978-4804
Mailing Address - Street 1:903 COMMERCE DR
Mailing Address - Street 2:STE. 333
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1969
Mailing Address - Country:US
Mailing Address - Phone:630-928-5224
Mailing Address - Fax:
Practice Address - Street 1:407 S 3RD ST
Practice Address - Street 2:STE 240
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-2741
Practice Address - Country:US
Practice Address - Phone:630-897-2848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VALLEY IMAGING VT, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-21
Last Update Date:2007-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty