MRI LINCOLN IMAGING CENTER
NPI 1316320401
Radiology - Diagnostic Radiology in Chicago, IL

Active since July 07, 2015CLIA Certified · 2 labs
4849 W FULLERTON AVE, CHICAGO, IL 60639(773) 622-1200(773) 622-1211 Get Directions Write a Review

NPPES record last updated: July 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mri Lincoln Imaging Center NPPES

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

MRI LINCOLN IMAGING CENTER (NPI 1316320401) is a healthcare organization registered as a diagnostic radiology in Chicago, Illinois and active in the NPI registry since July 2015. The organization holds 2 active CLIA laboratory certificates and lists Naser Rustom, President, as its authorized official.

NPPES Registry Identity

NPI1316320401
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGALILEE MEDICAL CENTER, S.C.
Location Address4849 W FULLERTON AVEChicago, IL 60639-2503
Mailing Address4200 W 63rd St, Suite AChicago, IL 60629-5010 · (773) 581-5600 · Fax (773) 581-5608
Fax(773) 622-1211
Organization SubpartNo
Authorized OfficialNaser RustomPresident · (773) 237-0755
Enumeration DateJuly 7, 2015
Last NPPES UpdateJuly 10, 2015
NPI 1316320401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 042619832
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
4849 W FULLERTON AVE, Chicago, IL 60639

Other Names 1

Doing Business AsMri Lincoln Imaging Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 14D2259440

Galilee Medical Center · Elgin, IL
Active · expires May 4, 2028
CLIA Number14D2259440
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorNaser Rustom
Laboratory Phone(773) 237-0755
Laboratory LocationGalilee Medical Center1554 Todd Farm Dr, Elgin, IL 60123
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2259182

Galilee Medical Center · Orland Park, IL
Active · expires May 2, 2028
CLIA Number14D2259182
Laboratory TypePhysician Office
Certificate Effective DateMay 3, 2026
Certificate Expiration DateMay 2, 2028
Laboratory DirectorNaser Rustom
Laboratory Phone(773) 237-0755
Laboratory LocationGalilee Medical Center10 Orland Square Dr, Orland Park, IL 60462
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

Orthopaedic Surgery
4849 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
4849 W FULLERTON AVE
CHICAGO, IL 60639
Anesthesiology (Pain Medicine)
4849 W FULLERTON AVE
CHICAGO, IL 60639
Orthopaedic Surgery
4849 W FULLERTON AVE
CHICAGO, IL 60639
Clinic/Center (Ambulatory Surgical)
4849 W FULLERTON AVE
CHICAGO, IL 60639
Physical Therapist
4849 W FULLERTON AVE
CHICAGO, IL 60639
Family Medicine
4849 W FULLERTON AVE
CHICAGO, IL 60639
Acupuncturist
4849 W FULLERTON AVE
CHICAGO, IL 60639

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 Galilee Medical Center, S.C.'s NPI number?

The NPI number for Galilee Medical Center, S.C. is 1316320401. It was assigned to this organization in the NPPES registry on July 7, 2015. The provider is doing business as Mri Lincoln Imaging Center.

Where is Galilee Medical Center, S.C. located?

Galilee Medical Center, S.C. is located at 4849 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 622-1200.

What is Galilee Medical Center, S.C.'s specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does Galilee Medical Center, S.C. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Galilee Medical Center, S.C. was last updated on July 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.