MCMC RADIOLOGY SERVICES, LLC (NPI# 1295784726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295784726 |
| Entity Type | Organization |
| Organization Name | MCMC RADIOLOGY SERVICES, LLC |
| Practice Address |
5310 W Capitol Dr Milwaukee WI 53216-2239 |
| Mailing Address |
5100 Montour Rd Emmett ID 83617-5016 |
| Practice Telephone | 4148737000 |
| Practice Fax Number | 4148738632 |
| Mailing Telephone | 2085843526 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT C. HELENIAK (MANAGING MEMBER) |
| Authorized Official Telephone | 2085843526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 21268900 | 05 |
| Street Address |
5310 W CAPITOL DR |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467710772 | Affiliated Medical Imaging | Clinic/Center | 5310 W Capitol Dr, Suite 108, Milwaukee, WI 53216-2263 | 2012-04-25 |
| 1134369218 | Taha Medical Center | Internal Medicine | 5310 W Capitol Dr, #102, Milwaukee, WI 53216-2263 | 2009-03-02 |
| 1164600490 | Sleep Diagnostic Center LLC | Internal Medicine | 5310 W Capitol Dr, Suite 215, Milwaukee, WI 53216-2263 | 2008-02-08 |
| 1538294061 | American Medical Equipment Supplies, LLC | Durable Medical Equipment & Medical Supplies | 5310 W Capitol Dr, Suite 314, Milwaukee, WI 53216-2263 | 2007-02-23 |
| 1548326440 | Orthotic Prosthetic Center Inc | Prosthetic/Orthotic Supplier | 5310 W Capitol Dr, Suite 106, Milwaukee, WI 53216-2263 | 2006-12-28 |
| 1255496246 | Joseph Shukri Makhlouf II | Chiropractor | 5310 W Capitol Dr, Milwaukee, WI 53216-2263 | 2006-12-27 |
| 1790849370 | Mohammad K Ali | Clinic/Center | 5310 W Capitol Dr, Milwaukee, WI 53216-2263 | 2006-12-20 |
| 1245399633 | Zarah Gean Mclean | Pediatrics | 5310 W Capitol Dr, #218, Milwaukee, WI 53216-2239 | 2006-12-08 |
| 1568544633 | Mcmc Primary Care LLC | Clinic/Center | 5310 W Capitol Dr, Milwaukee, WI 53216-2263 | 2006-10-19 |
| 1134238017 | Mcmc Urgicare LLC | Internal Medicine | 5310 W Capitol Dr, 101, Milwaukee, WI 53216-2263 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033121629 | Pediatric Diagnostic Imaging, S.c. | Clinic/Center | 8522 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-08-12 |
| 1184675506 | Cardiac Evaluation Services Inc | Clinic/Center | 2063 South 116th Street, Milwaukee, WI 53227 | 2006-05-12 |
| 1467710772 | Affiliated Medical Imaging | Clinic/Center | 5310 W Capitol Dr, Suite 108, Milwaukee, WI 53216-2263 | 2012-04-25 |
| 1467561506 | Spine Center of Wisconsin Sc | Clinic/Center | 2801 W Kinnickinnic River Pkwy Ste 355, Milwaukee, WI 53215-3695 | 2006-08-30 |
| 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 |
| 1528013992 | Open Mri of Delafield, LLC | Clinic/Center | 3960 Hillside Dr, Suite 106, Delafield, WI 53018-2148 | 2006-05-24 |
| 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 |
| 1669865705 | Oakleaf Clinics Sc | Clinic/Center | 3802 Oakwood Mall Dr, Eau Claire, WI 54701-3016 | 2015-03-13 |
| 1598056335 | Germantown Medical Imaging, LLC | Clinic/Center | W178n9912 Rivercrest Dr, Suite 102-a, Germantown, WI 53022-4645 | 2011-04-27 |
| 1598099608 | Vital Imaging, LLC | Clinic/Center | 10500 W Loomis Rd, Suite 132, Franklin, WI 53132-8030 | 2009-09-22 |
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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.