Pdi

LBN: Pediatric Diagnostic Imaging, S.C.
Pdi is an health care organization with primary practice located at 8522 W Capitol Dr , Milwaukee WI 53222-1827. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Pediatric Diagnostic Imaging, S.C. can be contacted via phone (414) 847-1800, or through Wells, Robert G via phone (414) 847-1800.

Contact Information

Primary practice address
8522 W Capitol Dr Milwaukee WI 53222-1827
Phone: (414) 847-1800
Fax: (414) 847-1820
Website:
Map and Directions
Authorized official contact:
Name: Wells, Robert G Doctor of Medicine (MD)
Phone: (414) 847-1800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 23901-020 Wisconsin

Profile Details

NPI number 1033121629
LBN Legal business name Pediatric Diagnostic Imaging, S.C.
DBA Doing business as Pdi
Authorized official Wells, Robert G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 12th, 2006
Last updated Mar 11th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033121629 NPPES
Wisconsin MEDICAID 21286500

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