Radiology Waukesha S.C.

LBN: Radiology Waukesha S.C.
Radiology Waukesha S.C. is an health care organization with primary practice located at 725 American Ave , Waukesha WI 53188-5031. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Radiology Waukesha S.C. can be contacted via phone (262) 928-2400, or through Fete, Jefffrey Matthew via phone (262) 928-2400.

Contact Information

Primary practice address
725 American Ave Waukesha WI 53188-5031
Fax: (262) 928-7621
Website:
Authorized official contact:
Name: Fete, Jefffrey Matthew Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1730175258
LBN Legal business name Radiology Waukesha S.C.
DBA Doing business as
Authorized official Fete, Jefffrey Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 22nd, 2007 - about 18 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 1730175258 NPPES
Wisconsin MEDICAID 32727700

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