SHARED MEDICAL SERVICES INC. NPI 1295785079

NPI Information

  • NPI: 1295785079
  • Provider Name: SHARED MEDICAL SERVICES, INC.
  • Classification: Clinic/Center - 261QR0208X
  • Specialization: Radiology, Mobile
  • Entity Type: Organization
  • Former Legal Business Name: NORTHERN SHARED MEDICAL SERVICES, INC.
  • CLIA Number: 52D1014984
  • Address: 209 LIMESTONE PASS
    COTTAGE GROVE, WI
    ZIP 53527
  • Phone: (608) 839-9050

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NPI Details

SHARED MEDICAL SERVICES, INC. is a radiology and mobile clinic center in Cottage Grove, WI. SHARED MEDICAL SERVICES, INC. NPI is 1295785079. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Northern Shared Medical Services, Inc..

The provider's business location address is:

209 LIMESTONE PASS
COTTAGE GROVE, WI
ZIP 53527
Phone: (608) 839-9050
Fax: (608) 839-8950

The provider's authorized official is Lisa A Arington .
The authorized official title is Ceo/president and has the following contact phone number (608) 839-9050.

The CLIA number assigned to this NPI record is 52D1014984 - mobile laboratory with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries (HCPCS:A9552)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)

The enumeration date for this NPI number is 5/11/2006 and was last updated on 7/19/2017.

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
1261QR0208XClinic/CenterRadiology, Mobile25120901WISCONSINYes

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
1IN1130MEDICARE PININDIANA
2000092650MEDICARE PINWISCONSIN
3MA1343MEDICARE PINMISSOURI
45F168MEDICARE PINARKANSAS
5IL7575MEDICARE PINILLINOIS
6IL5247MEDICARE PINILLINOIS
7IL7669MEDICARE PINILLINOIS
8IN1097MEDICARE PININDIANA
9MA1529MEDICARE PINMISSOURI
10130618MEDICARE PINKANSAS
11217025MEDICARE PINILLINOIS
12IN1326MEDICARE PININDIANA
13MA4223MEDICARE PINMISSOURI
14I16068MEDICARE PINIOWA
15IB1258MEDICARE PINIOWA
16IL7551MEDICARE PINILLINOIS
17KA1325MEDICARE PINKANSAS
18000047013MEDICARE PINMISSOURI
19IB1175MEDICARE PINIOWA
20IB1371MEDICARE PINIOWA
21MA2160MEDICARE PINMISSOURI

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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