NPI 1306201330

Elite Extremity MRI of Wisconsin, LLC

Organisation Specialist Milwaukee, WI

Practice location

Address: 4931 S 27th St, Milwaukee, WI 53221-2652
Phone: (414) 249-3250
Mailing address: 1050 Milwaukee Ave STE 102, Burlington, WI 53105-1380

Authorised official

Name: Kathy Ludgatis
Title: Ceo
Phone: (262) 496-3838

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1306201330
Entity type: Organization
NPI issued: 17 Dec 2015
Record last updated: 23 Jul 2019

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.