St Clare Imaging Services, Llc

LBN: St Clare Imaging Services, Llc
St Clare Imaging Services, Llc is an health care organization with primary practice located at 707 14Th St , Baraboo WI 53913-1539. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. St Clare Imaging Services, Llc can be contacted via phone (608) 356-1400, or through Walker, Troy via phone (608) 356-1423.

Contact Information

Primary practice address
707 14Th St Baraboo WI 53913-1539
Phone: (608) 356-1400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Troy
Phone: (608) 356-1423

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X

Profile Details

NPI number 1639152770
LBN Legal business name St Clare Imaging Services, Llc
DBA Doing business as
Authorized official Walker, Troy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 27th, 2023 - about last year

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 1639152770 NPPES
Wisconsin Other 1043767 PHYS PLUS PROV #
Wisconsin Other 567258 PHYS PLUS PROV #
Wisconsin MEDICAID 21278400 PHYS PLUS PROV #

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