NPI 1184704611

Enhanced Medical Imaging

Organisation Specialist Racine, WI

Practice location

Address: 5439 Durand Ave, Racine, WI 53406-5058
Phone: (262) 554-9787
Fax: (262) 554-9782

Authorised official

Name: Stephanie a Stephens
Title: Medical Benefits Coordinator
Phone: (262) 554-9787

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1184704611
Entity type: Organization
NPI issued: 17 Oct 2006
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.