Pediatric Radiologic Services Sc

LBN: Pediatric Radiologic Services Sc
Pediatric Radiologic Services Sc is an health care organization with primary practice located at 9000 West Wisconsin Avenue , Milwaukee WI 53201. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Pediatric Radiologic Services Sc can be contacted via phone (414) 266-1640, or through Wells, Robert G via phone (414) 266-1640.

Contact Information

Primary practice address
9000 West Wisconsin Avenue Milwaukee WI 53201
Phone: (414) 266-1640
Fax: (414) 266-1625
Website:
Map and Directions
Authorized official contact:
Name: Wells, Robert G Doctor of Medicine (MD)
Phone: (414) 266-1640

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1184673964
LBN Legal business name Pediatric Radiologic Services Sc
DBA Doing business as
Authorized official Wells, Robert G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1184673964 NPPES
Wisconsin MEDICAID 326-79000

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