Diagnostic & Surgical Service Center, Llc

LBN: Diagnostic & Treatment Center, Llc
Diagnostic & Surgical Service Center, Llc is an health care organization with primary practice located at 3401 Cranberry Blvd , Weston WI 54476. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Diagnostic & Treatment Center, Llc can be contacted via phone (715) 393-2489, or through Chisnell, Colleen via phone (715) 393-2499.

Contact Information

Primary practice address
3401 Cranberry Blvd Weston WI 54476
Fax: (715) 241-9475
Website:
Authorized official contact:
Name: Chisnell, Colleen

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 54844 Wisconsin
Ambulatory Health Care Facilities / Radiology 261QR0200X 400055 Wisconsin

Profile Details

NPI number 1215953823
LBN Legal business name Diagnostic & Treatment Center, Llc
DBA Doing business as Diagnostic & Surgical Service Center, Llc
Authorized official Chisnell, Colleen
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated May 14th, 2015 - about 9 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 1215953823 NPPES
Wisconsin MEDICAID 21290300

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