ST CLARE IMAGING SERVICES LLC NPI 1639152770

NPI Information

  • NPI: 1639152770
  • Provider Name: ST CLARE IMAGING SERVICES, LLC
  • Classification: Clinic/Center - 261QM1200X
  • Specialization: Magnetic Resonance Imaging (MRI)
  • Entity Type: Organization
  • CLIA Number: 52D0884932
  • Address: 707 14TH ST
    BARABOO, WI
    ZIP 53913
  • Phone: (608) 356-1400

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NPI Details

ST CLARE IMAGING SERVICES, LLC is a magnetic resonance imaging (mri) clinic center in Baraboo, WI. ST CLARE IMAGING SERVICES, LLC NPI is 1639152770. The provider is registered as an organization entity type.

The provider's business location address is:

707 14TH ST
BARABOO, WI
ZIP 53913-539
Phone: (608) 356-1400

The provider's authorized official is Troy Walker .
The authorized official title is Director Of Finance and has the following contact phone number (608) 356-1423.

The CLIA number assigned to this NPI record is 52D0884932 - ancillary testing site in health care center 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.

  • Mri scan of brain before and after contrast (HCPCS:70553)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of leg joint without contrast (HCPCS:73721)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of brain without contrast (HCPCS:70551)
  • Mri scan of lower spinal canal before and after contrast (HCPCS:72158)
  • Mri scan of middle spinal canal without contrast (HCPCS:72146)
  • Mri scan of middle spinal canal before and after contrast (HCPCS:72157)
  • Mri scan of upper spinal canal before and after contrast (HCPCS:72156)
  • Mri scan of blood vessels of head without contrast (HCPCS:70544)
  • Mri scan of blood vessels of neck before and after contrast (HCPCS:70549)
  • Mri scan of leg without contrast (HCPCS:73718)
  • Mri scan of bone of eye socket, face, and/or neck before and after contrast (HCPCS:70543)

The enumeration date for this NPI number is 11/22/2005 and was last updated on 11/27/2023.

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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)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
11043767OTHERWISCONSINPHYS PLUS PROV #
2567258OTHERWISCONSINDEANCARE PROV #
321278400MEDICAIDWISCONSIN

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: 3/30/2025

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