Prime Medical Imaging, LLC
NPI 1962974527ActiveOrganization· Physiological Laboratory· Mokena, IL
Physiological Laboratory in Mokena, Illinois, registered in NPPES in December 2018. The authorized official on file is Marina Rossomakha, Credentialing Specialist. Medicare paid $284,582 for services to 1,449 patients in 2024.
Overview
| NPI | 1962974527 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 20, 2018 |
| Last updated in NPPES | Jun 27, 2025 |
| Certified by provider | Jun 27, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,449 |
|---|---|
| Services billed | 37,460 across 132 procedure codes |
| Paid by Medicare | $284,582 |