PEDIATRIC DIAGNOSTIC IMAGING S.C. NPI 1033121629

NPI Information

NPI: 1033121629
Provider Name: PEDIATRIC DIAGNOSTIC IMAGING, S.C.

Other Name: PDI

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
8522 W CAPITOL DR
MILWAUKEE, WI
ZIP 53222
Phone: (414) 847-1800
Get Directions

PEDIATRIC DIAGNOSTIC IMAGING, S.C. is a radiology clinic center in Milwaukee, WI. PEDIATRIC DIAGNOSTIC IMAGING, S.C. NPI is 1033121629. The provider is registered as an organization entity type.
The provider Other Name Is Pdi.

The provider's business location address is:

8522 W CAPITOL DR
MILWAUKEE, WI
ZIP 53222-827
Phone: (414) 847-1800
Fax: (414) 847-1820

The provider's authorized official is Robert G Wells .
The authorized official title is President and has the following contact phone number (414) 847-1800.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 3/11/2009.

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	261QR0200X	Clinic/Center	Radiology	23901-020	WISCONSIN	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	000001341	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MEDICARE ID NUMBER
2	000001341	MEDICARE PIN	WISCONSIN
3	21286500	MEDICAID	WISCONSIN

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: 4/28/2024

NPI Synchronization or Removal

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