Lakeside Diagnostic Imaging Center, Llc in Shorewood - Diagnostic Radiology
Lakeside Diagnostic Imaging Center, Llc - NPI 1639111016
Lakeside Diagnostic Imaging Center, Llc is a Diagnostic Radiology in Shorewood, Wisconsin. Lakeside Diagnostic Imaging Center, Llc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Lakeside Diagnostic Imaging Center, Llc is 1639111016. The last update date is 2008-03-25.
Lakeside Diagnostic Imaging Center, Llc's current location address is 4601 N Oakland Ave, Shorewood, Wisconsin. You can contact this provider via phone number 4149644601 and fax number 4149644616. The mailing address for Lakeside Diagnostic Imaging Center, Llc is 4601 N Oakland Ave, Shorewood, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Diagnostic Imaging Center, Llc |
|---|---|
| Address | 4601 N Oakland Ave, Shorewood, Wisconsin |
| Phone Number | 4149644601 |
| Fax Number | 4149644616 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Cardone W. Bruce |
| Credentials | MD |
| Telephone Number | 4149644601 |
NPI Number Detail
| NPI Number | 1639111016 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2008-03-25 |
Provider Mailing Address Detail
| Address | 4601 N Oakland Ave |
|---|---|
| City | Shorewood |
| State | Wisconsin (WI) |
| Post Code | 532111232 |
| Phone Number | 4149644601 |
| Fax Number | 4149644616 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Lakeside Diagnostic Imaging Center, Llc by the Centers for Medicare & Medicaid Services?
The Lakeside Diagnostic Imaging Center, Llc has been assigned the NPI (National Provider Identifier) 1639111016. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lakeside Diagnostic Imaging Center, Llc's physical address?
The Lakeside Diagnostic Imaging Center, Llc is physically located at 4601 N Oakland Ave, in the city of Shorewood, WI, with the postal code 532111232.
What is Lakeside Diagnostic Imaging Center, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lakeside Diagnostic Imaging Center, Llc is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1639111016 to Lakeside Diagnostic Imaging Center, Llc?
The Centers for Medicare & Medicaid Services assigned the 1639111016 to Lakeside Diagnostic Imaging Center, Llc on 2006-06-12.
As of what date were the details related to Lakeside Diagnostic Imaging Center, Llc most recently updated or revised?
The information pertaining to Lakeside Diagnostic Imaging Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-25.