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PALOS IMAGING, LLC
NPI 1417305350
Radiology - Diagnostic Radiology in Orland Park, IL

Active since June 01, 2016CLIA 14D2121117 · Waiver
15300 WEST AVENUE, ORLAND PARK, IL 60462(708) 226-2500(708) 226-2509 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Palos Imaging, Llc NPPES

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

PALOS IMAGING, LLC (NPI 1417305350) is a healthcare organization registered as a diagnostic radiology in Orland Park, Illinois and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through October 30, 2026 and lists Terrence Moisan, President, as its authorized official.

NPPES Registry Identity

NPI1417305350
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePALOS IMAGING, LLC
Location Address15300 WEST AVENUEOrland Park, IL 60462
Mailing Address12251 S. 80th Avenue, Suite 1630Palos Heights, IL 60463 · (708) 923-5173 · Fax (708) 923-5018
Phone(708) 226-2500
Fax(708) 226-2509
Organization SubpartNo
Authorized OfficialTerrence MoisanPresident · (708) 923-5000
Enumeration DateJune 1, 2016
Last NPPES UpdateMarch 6, 2017
✔ NPI 1417305350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

15300 WEST AVENUE, Orland Park, IL 60462
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 14D2121117

Palos Hospital Orland Park Imaging & Diagnostics · Orland Park, IL
Active · expires Oct 30, 2026
CLIA Number14D2121117
Laboratory TypeImaging Diagnostic Lab
Certificate Effective DateOctober 31, 2024
Certificate Expiration DateOctober 30, 2026
Laboratory DirectorJon Randal Jester
Laboratory Phone(708) 923-5588
Laboratory LocationPalos Hospital Orland Park Imaging & Diagnostics15300 West Ave - Bldg B - Ste 100, Orland Park, IL 60462
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. CATHERINE JUNKANS RN MS PNP
Nurse Practitioner (Pediatrics)
15300 WEST AVENUE, SUITE 120S
ORLAND PARK, IL 60462
Cook County (708) 226-2323
MRS. SUSAN BUECHELE RN MS PNP
Nurse Practitioner (Pediatrics)
15300 WEST AVENUE, SUITE 120 S
ORLAND PARK, IL 60462
Cook County (708) 226-2323
DR. MICHAEL J. LYNCH D.O.
Family Medicine
15300 WEST AVENUE, SUITE 221 S.
ORLAND PARK, IL 60462
Cook County (708) 349-0747
DR. ANDRIUS KUDIRKA M.D.
Family Medicine
15300 WEST AVENUE, SUITE 221 S.
ORLAND PARK, IL 60462
Cook County (708) 590-5300
DR. DAVID BUTLER M.D.
Orthopaedic Surgery
15300 WEST AVENUE, SUITE 300 EAST BLDG
ORLAND PARK, IL 60462
Cook County (708) 349-6700

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 Palos Imaging, LLC's NPI number?

The NPI number for Palos Imaging, LLC is 1417305350. It was assigned to this organization in the NPPES registry on June 1, 2016.

Where is Palos Imaging, LLC located?

Palos Imaging, LLC is located at 15300 West Avenue, Orland Park, IL 60462. The listed phone number is (708) 226-2500.

What is Palos Imaging, LLC's specialty?

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

Does Palos Imaging, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2121117) is associated with this NPI, valid through October 30, 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 Palos Imaging, LLC was last updated on March 6, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.