KENOSHA RADIOLOGY CENTER LLC. is a radiology clinic center in Kenosha, WI. KENOSHA RADIOLOGY CENTER LLC. NPI is 1770540130. The provider is registered as an organization entity type.
The provider's business location address is:
10117 74TH ST
SUITE 150
KENOSHA, WI
ZIP 53142-533
Phone: (262) 697-7770
Fax: (262) 697-7771
The provider's authorized official is John S. Pallin .
The authorized official title is President and has the following contact phone number (262) 697-7770.
The CLIA number assigned to this NPI record is 52D0998775 - other - outpatient imaging center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/28/2006 and was last updated on 8/22/2020.