Milwaukee Diagnostic Services SC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MILWAUKEE DIAGNOSTIC SERVICES SC

Practice address

1233 N Mayfair Rd
Suite #201
Wauwatosa, WI 53226-3255

Phone

(414) 774-6300

NPI assigned

Jul 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Leibsohn, MD

Title

Owner/President

Phone

(414) 744-6300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1104847086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N MAYFAIR RD",
            "address_2": "SUITE #201",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263255",
            "telephone_number": "414-774-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N MAYFAIR RD",
            "address_2": "SUITE #201",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263255",
            "telephone_number": "414-774-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE DIAGNOSTIC SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "LEIBSOHN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-744-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30220700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Cardiovascular Disease Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.