IHC-KENOSHA RADIOLOGY LLC NPI 1285683284

NPI Information

NPI: 1285683284
Provider Name: IHC-KENOSHA RADIOLOGY, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
6308 8TH AVENUE
UHS KENOSHA CAMPUS
KENOSHA, WI
ZIP 53143
Phone: (414) 290-6720
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IHC-KENOSHA RADIOLOGY, LLC is a diagnostic radiology radiology in Kenosha, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. IHC-KENOSHA RADIOLOGY, LLC NPI is 1285683284. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6308 8TH AVENUE
UHS KENOSHA CAMPUS
KENOSHA, WI
ZIP 53143-031
Phone: (414) 290-6720
Fax: (414) 290-6755

The provider's authorized official is Kathleen Kondas .
The authorized official title is Officer and has the following contact phone number (954) 838-2371.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 9/16/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	32881400	MEDICAID	WISCONSIN
2	125363400	OTHER	WISCONSIN	OWCP
3	020447700	OTHER	WISCONSIN	FEDERAL BLACK LUNG PROGRA
4	CG5950	OTHER	WISCONSIN	MEDICARE RAILROAD
5	120005850	OTHER	WISCONSIN	WEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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