LIBERTYVILLE IMAGING CENTER
NPI 1427041086
Radiology - Diagnostic Radiology in Libertyville, IL
NPI Status: Active since August 29, 2005
Contact Information
333 PETERSON RD
SUITE 230
LIBERTYVILLE, IL
ZIP 60048
Phone: (847) 549-8000
Fax: (847) 549-8080
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
- CLIA Number: 14D2105515
- CLIA Cert. Type: Other - IMAGING CENTER
- CLIA Exp. Date: 11-24-2025
About LIBERTYVILLE IMAGING CENTER
This page provides the complete NPI Profile along with additional information for Libertyville Imaging Center, a provider established in Libertyville, Illinois operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1427041086 assigned on August 2005. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Libertyville Imaging Center. The authorized official of this NPI record is Mr. Shoukath Ahmed (Director)
- NPI
- 1427041086
- Provider Legal Name
- LIBERTYVILLE IMAGING ASSOCIATES, INC
- Other Organization Name
- LIBERTYVILLE IMAGING CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 333 PETERSON RD SUITE 230 LIBERTYVILLE, IL 60048
- Location Phone
- (847) 549-8000
- Location Fax
- (847) 549-8080
- Mailing Address
- 333 PETERSON RD SUITE 230 LIBERTYVILLE, IL 60048
- Mailing Phone
- (847) 549-8000
- Mailing Fax
- (847) 549-8080
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-29-2005
- Last Update Date
- 04-29-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 207039 | MEDICARE PIN (08) | IL |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Injection, gadobenate dimeglumine (multihance), per ml
Limited ultrasound scan of abdomen
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
Mri scan of leg joint without contrast
Mri scan of lower spinal canal without contrast
Gadobenate Dimeglumine (MultiHance) is a contrast agent used in MRI scans. Injected into your body, it helps to enhance the quality of the images captured during the scan. It aids in highlighting differences between normal and abnormal tissues, making diagnosis easier and more accurate.
This service was performed 170 times for 16 patientsA limited ultrasound scan of the abdomen is a non-invasive imaging test. It uses sound waves to produce images of the abdominal organs such as the liver, gallbladder, spleen, pancreas, and kidneys. This helps to identify any abnormalities or issues.
This service was performed 11 times for 11 patientsLow osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
This service was performed 2,100 times for 20 patientsAn MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.
This service was performed 15 times for 14 patientsAn MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
This service was performed 17 times for 17 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2105515
- Facility Type
- Other - IMAGING CENTER
- Certificate Effective Date
- November 25, 2023
- Certificate Expiration Date
- November 24, 2025
- Laboratory Director
- SHOUKATH AHMED
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Libertyville Imaging Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 4 | 1 | 0 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 4 | 2 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 4 + 2 + 0 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1427041086 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336399716 | MRI OF LIBERTYVILLE LLC Organization | Radiology (Diagnostic Radiology) | 333 PETERSON RD LIBERTYVILLE, IL 60048 (847) 549-8000 |
| 1992774301 | SHARON WEI LU WONG M.D. Individual | Internal Medicine | 333 PETERSON RD SUITE 230 LIBERTYVILLE, IL 60048 (847) 327-9127 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427041086, enumerated in the NPI registry as an "organization" on August 29, 2005
The provider is located at 333 Peterson Rd Suite 230 Libertyville, Il 60048 and the phone number is (847) 549-8000
This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Aetna CVS Health, Cigna Healthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Injection, gadobenate dimeglumine (multihance), per ml, Limited ultrasound scan of abdomen, Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, Mri scan of leg joint without contrast and Mri scan of lower spinal canal without contrast.
The provider's CLIA number is 14D2105515 for a "other - imaging center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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