MEDICAL DIAGNOSTIC IMAGING LLC NPI 1427165331

NPI Information

  • NPI: 1427165331
  • Provider Name: MEDICAL DIAGNOSTIC IMAGING LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • CLIA Number: 52D2006919
  • Address: 6150 W LAYTON AVE
    GREENFIELD, WI
    ZIP 53220
  • Phone: (414) 282-4100

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NPI Details

MEDICAL DIAGNOSTIC IMAGING LLC is a diagnostic radiology radiology in Greenfield, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDICAL DIAGNOSTIC IMAGING LLC NPI is 1427165331. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6150 W LAYTON AVE
GREENFIELD, WI
ZIP 53220-608
Phone: (414) 282-4100
Fax: (414) 282-4105

The provider's authorized official is Pamela Carlsen .
The authorized official title is Director Of Business Development and has the following contact phone number (414) 282-4100.

The CLIA number assigned to this NPI record is 52D2006919 - practitioner other 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.

  • Injection, gadoterate meglumine, 0.1 ml (HCPCS:A9575)
  • Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Ct scan of arm without contrast (HCPCS:73200)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Ct scan of leg without contrast (HCPCS:73700)
  • 3d radiographic procedure (HCPCS:76376)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of brain without contrast (HCPCS:70551)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Ultrasound scan of head and neck soft tissue (HCPCS:76536)
  • Ct scan of upper spine without contrast (HCPCS:72125)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
  • Complete ultrasound scan of abdomen (HCPCS:76700)
  • Limited ultrasound scan of abdomen (HCPCS:76705)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)

The enumeration date for this NPI number is 8/24/2006 and was last updated on 2/5/2021.

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
132896000MEDICAIDWISCONSIN

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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