COMPREHENSIVE DIAGNOSTIC IMAGING OF WISCONSIN, LLC – NPI #1255844106
Radiology

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

COMPREHENSIVE DIAGNOSTIC IMAGING OF WISCONSIN, LLC is a radiologist located in MILWAUKEE, WI. NPPES has assigned the NPI number 1255844106 to COMPREHENSIVE DIAGNOSTIC IMAGING OF WISCONSIN, LLC on November 14, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, 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 Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 6 years ago on Aug 05, 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 COMPREHENSIVE DIAGNOSTIC IMAGING OF WISCONSIN, LLC below.

NPI Profile for
COMPREHENSIVE DIAGNOSTIC IMAGING OF WISCONSIN, LLC

NPI Number
1255844106
Enumeration Date

(more than 8 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
COMPREHENSIVE DIAGNOSTIC IMAGING OF WISCONSIN, LLC
Primary location
2500 W LAYTON AVE STE 20
MILWAUKEE, WI 53221-5400
Phone: (262) 261-9423 Fax: (414) 539-4185
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES MAZZULLA
MANAGING MEMBER
Phone: (414) 281-2100
Updated
Certification Date
Aug 05, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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.

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.