Pediatric Diagnostic Imaging, S.c.

NPI #1972703031 in Franklin, Wisconsin

Provider Information

NPI Number: 1972703031
Entity Type: Organization
Organization Name: Pediatric Diagnostic Imaging, S.c.
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC DIAGNOSTIC IMAGING, S.C.
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Jul 18, 2007
Last Updated: Jul 18, 2007

Practice Location

Address: 10500 W LOOMIS RD STE 120
City: Franklin
State: Wisconsin
ZIP Code: 53132-8111
Phone: (414) 847-1800

Authorized Official

Name: MS. SUSAN JUNE KNIGHT, MBA
Title: BUSINESS MANAGER
Phone: (414) 847-1800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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