Lakeside Diagnostic Imaging Center, Llc

LBN: Lakeside Diagnostic Imaging Center, Llc
Lakeside Diagnostic Imaging Center, Llc is an health care organization with primary practice located at 4601 N Oakland Ave , Shorewood WI 53211-1232. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Lakeside Diagnostic Imaging Center, Llc can be contacted via phone (414) 964-4601, or through Cardone, Bruce W. via phone (414) 964-4601.

Contact Information

Primary practice address
4601 N Oakland Ave Shorewood WI 53211-1232
Phone: (414) 964-4601
Fax: (414) 964-4616
Website:
Map and Directions
Authorized official contact:
Name: Cardone, Bruce W. Doctor of Medicine (MD)
Phone: (414) 964-4601

Health care specialties

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

Profile Details

NPI number 1639111016
LBN Legal business name Lakeside Diagnostic Imaging Center, Llc
DBA Doing business as
Authorized official Cardone, Bruce W. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2006
Last updated Mar 25th, 2008 - about 16 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 1639111016 NPPES
Wisconsin MEDICAID 21258300

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