DIGITRACE CARE SERVICES INC NPI 1295745750

NPI Information

NPI: 1295745750
Provider Name: DIGITRACE CARE SERVICES INC
Classification: Clinic/Center - 261QS1200X
Entity Type: Organization

Specialization: Sleep Disorder Diagnostic

Address:
4125 N 124TH ST
SUITE J
BROOKFIELD, WI
ZIP 53005
Phone: (262) 790-4500
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DIGITRACE CARE SERVICES INC is a sleep disorder diagnostic clinic center in Brookfield, WI. DIGITRACE CARE SERVICES INC NPI is 1295745750. The provider is registered as an organization entity type.

The provider's business location address is:

4125 N 124TH ST
SUITE J
BROOKFIELD, WI
ZIP 53005-837
Phone: (262) 790-4500
Fax: (262) 790-1567

The provider's authorized official is Carl R. Iberger .
The authorized official title is Evp,cfo and has the following contact phone number (978) 536-7400.

The enumeration date for this NPI number is 8/8/2006 and was last updated on 6/27/2014.

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	332B00000X	Durable Medical Equipment & Medical Supplies				No
2	261QS1200X	Clinic/Center	Sleep Disorder Diagnostic			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	3501696	OTHER	WISCONSIN	UNITED HEALTHCARE
2	196050540331	OTHER	WISCONSIN	HUMANA
3	208665	OTHER	WISCONSIN	ANTHEM
4	7618325	OTHER		AETNA
5	=========011	OTHER	WISCONSIN	BCBS OF WI
6	1019876003	MEDICAID	WISCONSIN
7	000092290	MEDICARE PIN	WISCONSIN
8	=========002	OTHER	WISCONSIN	TRICARE

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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