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MEDICAL DIAGNOSTIC IMAGING LLC NPI 1427165331


NPI Information

NPI: 1427165331
Provider Name: MEDICAL DIAGNOSTIC IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

CLIA Number: 52D2006919

Address:
6150 W LAYTON AVE
GREENFIELD, WI
ZIP 53220
Phone: (414) 282-4100
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MEDICAL DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Greenfield, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDICAL DIAGNOSTIC IMAGING LLC NPI is 1427165331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6150 W LAYTON AVE
GREENFIELD, WI
ZIP 53220-608
Phone: (414) 282-4100
Fax: (414) 282-4105

The provider's authorized official is Pamela Carlsen .
The authorized official title is Director Of Business Development and has the following contact phone number (414) 282-4100.

The CLIA number assigned to this NPI record is 52D2006919 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 2/5/2021.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
132896000MEDICAIDWISCONSIN

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.