Medical Diagnostic Imaging LLC
Radiology, Diagnostic Radiology in Greenfield, WI. Organization (NPI-2).
Details
- NPI
- 1427165331
- Entity type
- Organization (NPI-2)
- Legal business name
- Medical Diagnostic Imaging LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2006
- Certification date
- Feb 5, 2021
- Last updated
- Feb 5, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
6150 W Layton AveGreenfield, WI 53220-4608
Phone 414-282-4100 · Fax 414-282-4105
Mailing address
6150 West Layton AveGreenfield, WI 53220
Phone 414-282-4100 · Fax 414-282-4108
Other practice locations
Franklin, WI 53132-9417
Phone 414-282-4100 · Fax 414-282-4105
Wauwatosa, WI 53222-4305
Phone 414-282-4100 · Fax 414-282-4105
Authorized official
Pamela Carlsen
Director Of Business Development
4142824100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 23 Diagnostic Radiology Physician providers in Greenfield · All 1,185 providers in Greenfield
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