Breast Diagnostic Clinic Sc

LBN: Breast Diagnostic Clinic Sc
Breast Diagnostic Clinic Sc is an health care organization with primary practice located at W238 N1645 Rockwood Drive Ste 100, Waukesha WI 53188-1148. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Breast Diagnostic Clinic Sc can be contacted via phone (262) 523-4800, or through Milbrath, John R via phone (262) 523-4800.

Contact Information

Primary practice address
W238 N1645 Rockwood Drive Ste 100 Waukesha WI 53188-1148
Phone: (262) 523-4800
Fax: (262) 523-4805
Website:
Map and Directions
Authorized official contact:
Name: Milbrath, John R
Phone: (262) 523-4800

Health care specialties

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

Profile Details

NPI number 1992919278
LBN Legal business name Breast Diagnostic Clinic Sc
DBA Doing business as
Authorized official Milbrath, John R
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1992919278 NPPES
Wisconsin MEDICAID 32691200
Wisconsin Other 104257

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