Provena Imaging Services Inc
Provena Imaging Services Inc is a healthcare organization registered as Diagnostic Radiology Physician in Geneva, IL, holding Type 2 (organization) NPI 1649383910 since 2006. The authorized official on file is Edward Molare, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1649383910 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Provena Imaging Services Inc |
| Other name | <Unavail> |
| Practice address | 1416C SOUTH RANDALL ROAD, Geneva, IL, 60134 |
| Phone | 6302089325 |
| Fax | 6302089326 |
| Enumeration date | 2006-08-17 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Edward Molare |
|---|---|
| Title | President |
| Phone | 9525256338 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician | Primary | — | — |
Copy-ready billing details
Provider: Provena Imaging Services Inc NPI: 1649383910 Taxonomy: 2085R0202X (Diagnostic Radiology Physician) Address: 1416C SOUTH RANDALL ROAD, Geneva, IL, 60134
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1902857881 | Randallwood Radiology Associates, S. C. | Organization | Diagnostic Radiology Physician | Geneva, IL |
| 1619929478 | Kenneth Sullivan | Individual | Neuroradiology Physician | Geneva, IL |
Verify this record
Cross-check NPI 1649383910 against the authoritative CMS record: view Provena Imaging Services Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Provena Imaging Services Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.