ROUND LAKE MEDICAL IMAGING INC
NPI 1225563380
Clinic/Center - Magnetic Resonance Imaging (MRI) in Round Lake Beach, IL

Active since April 26, 2017CLIA 14D0414039 · Waiver
720 E ROLLINS RD, ROUND LAKE BEACH, IL 60073(847) 546-3600 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Round Lake Medical Imaging Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROUND LAKE MEDICAL IMAGING INC (NPI 1225563380) is a healthcare organization registered as a magnetic resonance imaging (mri) in Round Lake Beach, Illinois and active in the NPI registry since April 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jose Thenganatt, Director, as its authorized official.

NPPES Registry Identity

NPI1225563380
Entity TypeOrganization
Primary Taxonomy261QM1200X
Legal Business NameROUND LAKE MEDICAL IMAGING INC
Location Address720 E ROLLINS RDRound Lake Beach, IL 60073-1340
Mailing Address720 E Rollins RdRound Lake Beach, IL 60073-1340 · (847) 546-3600
Organization SubpartNo
Authorized OfficialJose ThenganattDirector · (847) 922-6306
Enumeration DateApril 26, 2017
NPI 1225563380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities
Taxonomy Code261QM1200X
License Licensed in IL · 500505334
720 E ROLLINS RD, Round Lake Beach, IL 60073

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0414039

Round Lake Medical · Round Lake, IL
Active · expires Aug 31, 2026
CLIA Number14D0414039
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorIra F. Fenton
Laboratory Phone(708) 546-9455
Laboratory LocationRound Lake Medical2 E Rollins Rd, Round Lake, IL 60073
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Mri scan of lower spinal canal without contrast 72148
An 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.
28 services28 patients
Mri scan of leg joint without contrast 73721
An 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.
16 services16 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
720 E ROLLINS RD
ROUND LAKE BEACH, IL 60073
Clinic/Center (Magnetic Resonance Imaging (MRI))
720 E ROLLINS RD
ROUND LAKE BEACH, IL 60073

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Round Lake Medical Imaging Inc's NPI number?

The NPI number for Round Lake Medical Imaging Inc is 1225563380. It was assigned to this organization in the NPPES registry on April 26, 2017.

Where is Round Lake Medical Imaging Inc located?

Round Lake Medical Imaging Inc is located at 720 E Rollins Rd, Round Lake Beach, IL 60073. The listed phone number is (847) 546-3600.

What is Round Lake Medical Imaging Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

Does Round Lake Medical Imaging Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0414039) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Round Lake Medical Imaging Inc was last updated on April 26, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.