DIAGNOSTIC & TREATMENT CENTER, LLC (NPI# 1215953823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215953823 |
| Entity Type | Organization |
| Organization Name | DIAGNOSTIC & TREATMENT CENTER, LLC |
| Other Organization Name | DIAGNOSTIC & SURGICAL SERVICE CENTER, LLC |
| Practice Address |
3401 Cranberry Blvd Weston WI 54476 |
| Practice Telephone | 7153932489 |
| Practice Fax Number | 7152419475 |
| Mailing Telephone | 7153932489 |
| Mailing Fax Number | 7152419475 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-05-14 |
| Authorized Official Name | COLLEEN CHISNELL (SENIOR DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7153932499 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | 54844 | WI | Ambulatory Health Care Facilities |
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
400055 | WI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21290300 | 05 |
| Other Name | Type Code |
|---|---|
| Diagnostic & Surgical Service Center, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427258250 | Diagnostic & Treatment Center, LLC | Community/Behavioral Health | 1818 Cole St, Enumclaw, WA 98022-3504 | 2007-07-19 |
| 1629152830 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-10-24 |
| 1841398591 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-09-20 |
| 1740294636 | Diagnostic & Treatment Center, LLC | Clinical Medical Laboratory | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-28 |
| 1659385540 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-28 |
| 1023031366 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-26 |
| Street Address |
3401 CRANBERRY BLVD |
| City | WESTON |
| State | WI |
| Zip Code | 54476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982671178 | Teri Ogiba | Occupational Therapist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2006-03-07 |
| 1154789089 | Connie Zebro | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2016-02-06 |
| 1114392289 | Andria Smith | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2015-12-01 |
| 1174839393 | Nicole Christine Berry | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2010-08-25 |
| 1962737114 | Lisa Dickas | Speech-Language Pathologist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2009-10-06 |
| 1043381031 | Virginia Laurencia Cole | Physical Therapist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2006-11-13 |
| 1629152830 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-10-24 |
| 1841398591 | Diagnostic & Treatment Center, LLC | Clinic/Center | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-09-20 |
| 1811009186 | Mary C Repking | Physical Therapist | 3401 Cranberry Blvd, Weston, WI 54476-5217 | 2006-08-31 |
| 1740294636 | Diagnostic & Treatment Center, LLC | Clinical Medical Laboratory | 3401 Cranberry Blvd, Weston, WI 54476 | 2006-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750496907 | Advanced Radiology & Interpretation Group | Clinic/Center | 1112 Weston Rd, 208, Weston, FL 33326-1915 | 2006-08-20 |
| 1679535769 | Open Magnetic Imaging Inc | Clinic/Center | 2200 N Commerce Parkway, Ste 100, Weston, FL 33326 | 2006-04-04 |
| 1023275245 | Variety Children's Hospital | Clinic/Center | 2900 S Commerce Pkwy, Weston, FL 33331-3622 | 2008-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649607623 | Touhy Diagnostic At Home LLC | Clinic/Center | 723 58th St, 304, Kenosha, WI 53140-4160 | 2013-10-04 |
| 1649435876 | Luck Medical Clinic | Clinic/Center | 137 1st Ave, Luck, WI 54853 | 2008-07-28 |
| 1215112966 | Mh Imaging-kenosha LLC | Clinic/Center | 1020 35th Street, Suite 120, Kenosha, WI 53140-1932 | 2007-12-31 |
| 1144392275 | St Mary's Dean Ventures Inc | Clinic/Center | 1313 Fish Hatchery Road, Madison, WI 53715 | 2006-11-14 |
| 1033121629 | Pediatric Diagnostic Imaging, S.c. | Clinic/Center | 8522 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-08-12 |
| 1528013992 | Open Mri of Delafield, LLC | Clinic/Center | 3960 Hillside Dr, Suite 106, Delafield, WI 53018-2148 | 2006-05-24 |
| 1184675506 | Cardiac Evaluation Services Inc | Clinic/Center | 2063 South 116th Street, Milwaukee, WI 53227 | 2006-05-12 |
| 1295784726 | Mcmc Radiology Services, LLC | Clinic/Center | 5310 W Capitol Dr, Milwaukee, WI 53216-2239 | 2006-05-10 |
| 1770540130 | Kenosha Radiology Center LLC. | Clinic/Center | 10117 74th St, Suite 150, Kenosha, WI 53142-7533 | 2006-04-28 |
| 1073592473 | Advanced Imaging S.c. | Clinic/Center | 228 S 18th Ave, Sturgeon Bay, WI 54235-1000 | 2006-01-13 |
| Find all providers with the same taxonomy | ||||
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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.