Leon S Jackson in La Crosse - Diagnostic Radiology
Leon S Jackson - NPI 1285622175
Leon S Jackson is a Diagnostic Radiology in La Crosse, Wisconsin. Leon S Jackson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Leon S Jackson is 1285622175. The last update date is 2015-07-24.
Leon S Jackson's current location address is 2031 32nd St S, La Crosse, Wisconsin. You can contact this provider via phone number 6087888103 and fax number 6087888799. The mailing address for Leon S Jackson is 2031 32nd St S, La Crosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leon S Jackson |
|---|---|
| Address | 2031 32nd St S, La Crosse, Wisconsin |
| Phone Number | 6087888103 |
| Fax Number | 6087888799 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1285622175 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2015-07-24 |
Provider Mailing Address Detail
| Address | 2031 32nd St S |
|---|---|
| City | La Crosse |
| State | Wisconsin (WI) |
| Post Code | 546017099 |
| Phone Number | 6087888103 |
| Fax Number | 6087888799 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 11348 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100505784 | NV | -- |
Post Comment/ Review Below
What is the Leon S Jackson's 1285622175?
The Leon S Jackson's NPI (National Provider Identifier) Number is 1285622175. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Leon S Jackson's facilities are geographically located?
The facilities of Leon S Jackson are physically situated at the following location: 2031 32Nd St S, La Crosse, WI, 546017099.
What is Leon S Jackson's area of expertise and its corresponding taxonomy classification?
The Leon S Jackson's field of specialization is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1285622175 to Leon S Jackson?
The Centers for Medicare & Medicaid Services assigned the 1285622175 to Leon S Jackson on 2005-10-13.
As of what date was the information regarding Leon S Jackson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Leon S Jackson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-07-24.