Provider Demographics
NPI:1154556033
Name:AMERICAN X-RAY SERVICES, LLC
Entity type:Organization
Organization Name:AMERICAN X-RAY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KEYSHA
Authorized Official - Middle Name:M
Authorized Official - Last Name:AZEEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-345-6565
Mailing Address - Street 1:PO BOX 3044
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60522-3044
Mailing Address - Country:US
Mailing Address - Phone:708-345-6565
Mailing Address - Fax:708-345-6595
Practice Address - Street 1:1S376 SUMMIT AVE STE 6F
Practice Address - Street 2:
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3969
Practice Address - Country:US
Practice Address - Phone:708-345-6565
Practice Address - Fax:708-345-6595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-21
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier