NPI 1780826230

Division MRI, INC.

Organisation Physiological Laboratory Chicago, IL

Practice location

Address: 2618 W Division St, Chicago, IL 60622-7107
Phone: (773) 235-7455
Fax: (773) 235-7055
Mailing address: PO Box 220450, Chicago, IL 60622-0450

Authorised official

Name: Amer Rustum
Title: Owner/President
Phone: (773) 456-3384

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

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Registry record

NPI: 1780826230
Entity type: Organization
NPI issued: 30 Mar 2009
Record last updated: 7 Jan 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.