Provider Demographics
NPI:1720433360
Name:ROCKFORD MEDICAL IMAGING INC
Entity Type:Organization
Organization Name:ROCKFORD MEDICAL IMAGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAFIUDIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALIU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-260-7688
Mailing Address - Street 1:1N121 COUNTY FARM RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60190-2019
Mailing Address - Country:US
Mailing Address - Phone:630-260-7688
Mailing Address - Fax:
Practice Address - Street 1:1N121 COUNTY FARM RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60190-2019
Practice Address - Country:US
Practice Address - Phone:630-260-7688
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty