MOLECULAR IMAGING ALLIANCE OF MILWAUKEE, LLC (NPI# 1679890297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679890297 |
| Entity Type | Organization |
| Organization Name | MOLECULAR IMAGING ALLIANCE OF MILWAUKEE, LLC |
| Practice Address |
9200 Leesgate Rd Ste 100 Louisville KY 40222-5173 |
| Mailing Address |
11226 W Lapham St West Allis WI 53214-3806 |
| Practice Telephone | 5024031401 |
| Practice Fax Number | 5024031451 |
| Mailing Telephone | 4143951941 |
| Mailing Fax Number | 4143027064 |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2011-09-09 |
| Authorized Official Name | MRS. MICHELLE DOUGLAS (CONTRACT MANAGER) |
| Authorized Official Telephone | 5024031401 |
| 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 | 100015024 | 05 |
| Street Address |
9200 LEESGATE RD STE 100 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40222-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164682084 | Anne P Rowland | Ophthalmology | 9200 Leesgate Rd Ste 100, Louisville, KY 40222-5173 | 2008-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881507 | Lucas Counseling and Consulting | Counselor | 8134 New Lagrange Road Suite 100, Louisville, KY 40222 | 2020-11-06 |
| 1700424157 | Hope4hearts Counseling LLC | Community/Behavioral Health | 7321 New Lagrange Road, Louisville, KY 40222 | 2019-12-17 |
| 1982162509 | Sydney Sleadd | Massage Therapist | 7505 New Lagrange Rd, Ste 101, Louisville, KY 40222 | 2019-03-04 |
| 1205390127 | Rebecca A Street | Marriage & Family Therapist | 8134 New La Grange Rd Ste 227, Louisville, KY 40222 | 2019-01-24 |
| 1689176166 | Andrew Pennington | Social Worker | 1015 Dorsey Ln., Louisville, KY 40222 | 2018-03-01 |
| 1578085957 | Megan Lusco | Case Manager/Care Coordinator | 312 Whittington Parkway, Suite 020, Louisville, KY 40222 | 2017-07-07 |
| 1083149868 | Kate Oliver Ray | Optometrist | 2420 Lime Kiln Ln Ste H, Louisville, KY 40222 | 2017-04-28 |
| 1578094736 | Jacqueline Ward | Speech-Language Pathologist | 910 Fenley Avenue, Louisville, KY 40222 | 2017-03-21 |
| 1295195907 | Carol Massey | Psychologist | 7400 Newlagrange Roed, 308, Louisville, KY 40222 | 2016-02-24 |
| 1588047260 | Melissa Cosby | Case Manager/Care Coordinator | 312 Whittington Parkway Suite 020, Louisville, KY 40222 | 2015-06-30 |
| Find all providers in zip 40222 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044523 | Norton Hospitals Inc | Clinic/Center | 4420 Dixie Hwy Ste 108, Louisville, KY 40216-2986 | 2020-08-18 |
| 1952935041 | Gnd Radiology Solutions, LLC | Clinic/Center | 6801 Dixie Hwy Ste 238, Louisville, KY 40258-3961 | 2020-02-27 |
| 1447388335 | Norton Hospitals Inc | Clinic/Center | 4960 Norton Healthcare Blvd, Louisville, KY 40241-2831 | 2007-03-01 |
| 1780751487 | Diversified Patient Resources, Inc. | Clinic/Center | 2547 Dell Rd, Louisville, KY 40205-2309 | 2006-11-29 |
| 1306921309 | Quest | Clinic/Center | 2128 S Hurstbourne Pkwy, Louisville, KY 40220-1622 | 2006-10-26 |
| 1679535702 | Diagnostic Medical Imaging Associates, Psc. | Clinic/Center | 3900 Dupont Sq S, Suite B, Louisville, KY 40207-4615 | 2006-04-04 |
| 1154329696 | Norton Hospitals Inc | Clinic/Center | 3901 Dutchmans Ln, Suite 101, Louisville, KY 40207-4722 | 2005-07-08 |
| 1255335873 | Norton Hospitals, Inc | Clinic/Center | 9344 Cedar Center Way, Louisville, KY 40291-4522 | 2005-06-10 |
| 1942203955 | Lifescan of Louisville LLC | Clinic/Center | 4046 Dutchmans Ln, Louisville, KY 40207-4712 | 2005-05-23 |
| 1346578010 | Norton Hospitals Inc | Clinic/Center | 3430 Newburg Rd, Louisville, KY 40218-2497 | 2009-11-18 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40222 |
Please comment or provide details below to improve the information on MOLECULAR IMAGING ALLIANCE OF MILWAUKEE, LLC.
| 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.