MILWAUKEE CENTER FOR DIAGNOSTIC IMAGING LLC (NPI# 1174551188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174551188 |
| Entity Type | Organization |
| Organization Name | MILWAUKEE CENTER FOR DIAGNOSTIC IMAGING LLC |
| Other Organization Name | CENTER FOR DIAGNOSTIC IMAGING |
| Practice Address |
1340a West Town Square Road Mequon WI 53092 |
| Mailing Address |
Po Box 2088 Dept 4158 Milwaukee WI 53201-2088 |
| Practice Telephone | 2622407226 |
| Practice Fax Number | 2622407227 |
| Mailing Telephone | 9525428553 |
| Mailing Fax Number | 9525136880 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DONALD D JACOBSEN (OFFICER ON THE BOARD ASST SECRETARY) |
| Authorized Official Telephone | 9525436500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Center for Diagnostic Imaging | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093782435 | Milwaukee Center for Diagnostic Imaging LLC | Radiology | 2445 North Mayfair Rd, Suite 100, Wauwatosa, WI 53226 | 2006-03-03 |
| Street Address |
1340A WEST TOWN SQUARE ROAD |
| City | MEQUON |
| State | WI |
| Zip Code | 53092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306882238 | Medical Scanning Consultants Pa | Radiology | 1340a West Town Square Road, Mequon, WI 53092 | 2006-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942790761 | Kathryn Mueller | Specialist/Technologist | 117 Linden Lane, Apt 7, Thiensville, WI 53092 | 2018-05-17 |
| 1427547082 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 10996 N Port Washington Rd, Mequon, WI 53092 | 2018-05-08 |
| 1912437252 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 11430 Port Washington Road, Mequon, WI 53092 | 2017-06-19 |
| 1629437256 | Sean S Tsang | Acupuncturist | 909 W. Mequon Rd., Mequon, WI 53092 | 2016-02-10 |
| 1497128433 | Nancy Snoots | Counselor | 4430 W Tarrytown Ln, Mequon, WI 53092 | 2015-11-12 |
| 1609265214 | Evan Guettel | Physical Therapist | 11363 N. Port Washington Road, Mequon, WI 53092 | 2015-01-20 |
| 1881091148 | Sarah Krueger | Counselor | 216 N Green Bay Rd Suite 108, Thiensville, WI 53092 | 2014-12-01 |
| 1245667088 | Lora Transportation, LLC | Non-emergency Medical Transport (VAN) | 1228 West Baldwin Crt., Mequon, WI 53092 | 2013-10-10 |
| 1710314000 | Roxxi M Davis | Social Worker | 7113 Tamarack Ct, Mequon, WI 53092 | 2013-10-01 |
| 1225473713 | Forefront Dermatology, S.c. | Dermatology | 10303 N Port Washington Rd Ste 101, Mequon, WI 53092 | 2013-05-09 |
| Find all providers in zip 53092 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629442181 | Dysphagia Testing, LLC | Radiology | 10638 Hidden Creek Dr, Mequon, WI 53092-8538 | 2015-11-20 |
| 1245477025 | Edward Robert Kinsfogel | Radiology | 13116 N Fox Hollow Rd, Mequon, WI 53097-1805 | 2009-01-15 |
| 1568529485 | Louis Owens Jr. | Radiology | 10335 N Port Washington Rd, 250, Mequon, WI 53092-5763 | 2007-01-02 |
| 1306882238 | Medical Scanning Consultants Pa | Radiology | 1340a West Town Square Road, Mequon, WI 53092 | 2006-06-20 |
| 1770531394 | Allan Lipkowitz | Radiology | 11126 N Wyngate Trce, Mequon, WI 53092-5871 | 2006-05-05 |
| 1932157377 | Debra Ann Wiedmeyer | Radiology | 11418 N Canterbury Dr, Mequon, WI 53092-2777 | 2006-05-05 |
| 1154379428 | Stephen M. Humphrey | Radiology | 10614 N Port Washington Rd, Mequon, WI 53092-5013 | 2006-05-05 |
| 1467443887 | Anne E Bartel | Radiology | 1361 W Towne Square Rd, Mequon, WI 53092-5047 | 2005-11-03 |
| 1407842602 | Marie Kristin Troy | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2005-09-22 |
| 1952721045 | Lucy Xiangxi Lu-weinlander | Radiology | 10945 N Port Washington Rd Ste 201, Mequon, WI 53092-5078 | 2014-04-16 |
| Find all providers in MEQUON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.