PEDIATRIC RADIOLOGIC SERVICES SC – NPI #1184673964
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

PEDIATRIC RADIOLOGIC SERVICES SC is a radiologist located in MILWAUKEE, WI. NPPES has assigned the NPI number 1184673964 to PEDIATRIC RADIOLOGIC SERVICES SC on May 09, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PEDIATRIC RADIOLOGIC SERVICES SC below.

NPI Profile for
PEDIATRIC RADIOLOGIC SERVICES SC

NPI Number
1184673964
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PEDIATRIC RADIOLOGIC SERVICES SC
Primary location
9000 WEST WISCONSIN AVENUE
MILWAUKEE, WI 53201
Phone: (414) 266-1640 Fax: (414) 266-1625
Mailing address
PO BOX 230
ELM GROVE, WI 53122
Phone: (262) 821-9131 Fax: (262) 821-9132
Organization Subpart
No
Authorized Official
ROBERT WELLS
OPERATING CHIEF
Phone: (414) 266-1640
Updated
Identifiers

Identifiers for PEDIATRIC RADIOLOGIC SERVICES SC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI326-79000
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.