institution
Kenosha Radiology Center Llc.
Radiology Clinic/Center in Kenosha, Wisconsin
NPI 1770540130

Kenosha Radiology Center Llc. is a Radiology Clinic/Center based in Kenosha, WI and is specialized in Radiology. Kenosha Radiology Center Llc. practices in Kenosha, WI. The NPI Number for Kenosha Radiology Center Llc. is 1770540130 and holds a License No. XM310472 (Wisconsin).

The current practice location address for Kenosha Radiology Center Llc. is 10117 74Th St, Kenosha, WI and can be reached out via phone at 262-697-7770 and via fax at 262-697-7771.

Location: 10117 74Th St, Kenosha, WI, 53142-7533
institution
Provider Profile Details
NPI Number
1770540130
Provider Name
Kenosha Radiology Center Llc.
Credential
Provider Entity Type
Organization
Address
10117 74Th St, Kenosha, WI, 53142-7533
Phone Number
262-697-7770
Fax Number
262-697-7771
Provider Enumeration Date
04/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21255800 05 WI
institution
Provider Business Practice Location Address Details
Address
10117 74Th St
City
State
Zip
53142-7533
Phone Number
262-697-7770
Fax Number
262-697-7771
person
Provider Business Mailing Address Details
Address
10117 74Th St
City
State
Zip
53142-7533
Phone Number
262-697-7770
Fax Number
262-697-7771
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
XM310472 (Wisconsin)
Definition
Definition to come...
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