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BREAST DIAGNOSTIC CLINIC SC NPI 1992919278


NPI Information

NPI: 1992919278
Provider Name: BREAST DIAGNOSTIC CLINIC SC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
W238 N1645 ROCKWOOD DRIVE
STE 100
WAUKESHA, WI
ZIP 53188
Phone: (262) 523-4800
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BREAST DIAGNOSTIC CLINIC SC is a diagnostic radiology radiology in Waukesha, WI. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BREAST DIAGNOSTIC CLINIC SC NPI is 1992919278. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

W238 N1645 ROCKWOOD DRIVE
STE 100
WAUKESHA, WI
ZIP 53188-148
Phone: (262) 523-4800
Fax: (262) 523-4805

The provider's authorized official is John R Milbrath .
The authorized official title is President and has the following contact phone number (262) 523-4800.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.


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
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1104257OTHERWISCONSINFDA CERTIFICATION
232691200MEDICAIDWISCONSIN

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

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.