A-1 MEDICAL IMAGING — NPI 1669678264 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in MELROSE PARK, IL)

CMS-1500 Box 24J / 33a • NPI

1669678264

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

261QR0200X (CMS 74)

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

1419 W LAKE ST STE B, MELROSE PARK, IL, 60160-3930

✓ 9-Digit EDI 837 ZIP+4 (60160-3930)

Practice Phone & Referral Fax

(708) 343-2095

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1669678264 (A-1 MEDICAL IMAGING) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1669678264` (NPI-2 Organization / Facility)
Provider / Legal Name	A-1 MEDICAL IMAGING
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QR0200X` (Clinic/Center, Radiology)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	1419 W LAKE ST STE B, MELROSE PARK, IL, 60160-3930
Practice Telephone / Fax	Tel: (708) 343-2095
Administrative Mailing Address	507 SAUK PATH, OAK BROOK, IL, 60523-2776
Enumeration & Last Sync	Enumerated: 2007-06-21 \| CMS Record Updated: 2020-08-22
Authorized Official	JEAN ALEXANDRE (president)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1419 W LAKE ST STE B, MELROSE PARK, IL, 60160-3930

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Plain-English Taxonomy & CMS Crosswalk (261QR0200X)

What Does Taxonomy Code 261QR0200X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QR0200X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 74 (Radiation Therapy Center)
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (A-1 MEDICAL IMAGING)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QR0200X` — Clinic/Center, Radiology Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: IL \| License: `036046060` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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A-1 MEDICAL IMAGING (NPI #1669678264)