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AZH VASCULAR CENTER MKE SC NPI 1508312570


NPI Information

NPI: 1508312570
Provider Name: AZH VASCULAR CENTER MKE SC

Former Legal Business Name: AZH VASCULAR CENTER MKE LLC

Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

CLIA Number: 52D2123904

Address:
2500 W LAYTON AVE
SUITE 40
MILWAUKEE, WI
ZIP 53221
Phone: (262) 577-0250
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AZH VASCULAR CENTER MKE SC is a vascular and interventional radiology radiology in Milwaukee, WI. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. AZH VASCULAR CENTER MKE SC NPI is 1508312570. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Azh Vascular Center Mke Llc.

The provider's business location address is:

2500 W LAYTON AVE
SUITE 40
MILWAUKEE, WI
ZIP 53221-420
Phone: (262) 577-0250
Fax: (262) 577-0251

The provider's authorized official is Valerie Wagner .
The authorized official title is Practice Manager and has the following contact phone number (262) 577-0250.

The CLIA number assigned to this NPI record is 52D2123904 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 7/9/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineNo
22085R0204XRadiologyVascular & Interventional RadiologyYes
32086S0129XSurgeryVascular SurgeryNo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.