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Lakeside Diagnostic Imaging Center, Llc
Diagnostic Radiology Physician in Shorewood, Wisconsin
NPI 1639111016

Lakeside Diagnostic Imaging Center, Llc is a Diagnostic Radiology Physician based in Shorewood, WI and is specialized in Diagnostic Radiology. Lakeside Diagnostic Imaging Center, Llc practices in Shorewood, WI. The NPI Number for Lakeside Diagnostic Imaging Center, Llc is 1639111016 and holds a License No. (Wisconsin).

The current practice location address for Lakeside Diagnostic Imaging Center, Llc is 4601 N Oakland Ave, Shorewood, WI and can be reached out via phone at 414-964-4601 and via fax at 414-964-4616.

Location: 4601 N Oakland Ave, Shorewood, WI, 53211-1232
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639111016
Provider Name
Lakeside Diagnostic Imaging Center, Llc
Credential
Provider Entity Type
Organization
Address
4601 N Oakland Ave, Shorewood, WI, 53211-1232
Phone Number
414-964-4601
Fax Number
414-964-4616
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21258300 05 WI
institution
Provider Business Practice Location Address Details
Address
4601 N Oakland Ave
City
Shorewood
State
Wisconsin
Zip
53211-1232
Phone Number
414-964-4601
Fax Number
414-964-4616
person
Provider Business Mailing Address Details
Address
4601 N Oakland Ave
City
Shorewood
State
Wisconsin
Zip
53211-1232
Phone Number
414-964-4601
Fax Number
414-964-4616
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
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Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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