Organization Active NPI

Advanced Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Racine, WI
National Provider Identifier
1255365482
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ADVANCED MEDICAL IMAGING LLC
Practice address
5439 Durand Ave
Suite 101
Racine, WI 53406-5058
Phone
(262) 554-8525
Fax
(262) 554-8524
NPI assigned
Jul 11, 2006
Last updated
Jan 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Tajinder Kalsi
Title
President
Phone
(262) 554-9787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

5439 Durand Ave
Suite 101
Racine, WI 53406-5058

Mailing address

5439 Durand Ave
Suite 101
Racine, WI 53406-5058
Phone (262) 554-8525

Other identifiers 1

IdentifierTypeStateIssuer
21272300MedicaidWI

National Provider Directory

National Provider Directory

Locations

5439 Durand Ave
Ste 101
Mount Pleasant, WI 53406
Phone (262) 554-8525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1255365482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE",
            "address_2": "SUITE 101",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-554-8525",
            "fax_number": "262-554-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 DURAND AVE",
            "address_2": "SUITE 101",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065058",
            "telephone_number": "262-554-8525",
            "fax_number": "262-554-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "KALSI",
        "authorized_official_first_name": "TAJINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "262-554-9787"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21272300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.