PEDIATRIC RADIOLOGIC SERVICES SC NPI 1184673964

NPI Information

  • NPI: 1184673964
  • Provider Name: PEDIATRIC RADIOLOGIC SERVICES SC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Address: 9000 WEST WISCONSIN AVENUE
    MILWAUKEE, WI
    ZIP 53201
  • Phone: (414) 266-1640

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NPI Details

PEDIATRIC RADIOLOGIC SERVICES SC is a diagnostic radiology radiology in Milwaukee, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. PEDIATRIC RADIOLOGIC SERVICES SC NPI is 1184673964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9000 WEST WISCONSIN AVENUE
MILWAUKEE, WI
ZIP 53201
Phone: (414) 266-1640
Fax: (414) 266-1625

The provider's authorized official is Robert G Wells .
The authorized official title is Operating Chief and has the following contact phone number (414) 266-1640.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 8/22/2020.

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
1326-79000MEDICAIDWISCONSIN

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: 11/21/2025

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