Organization Active NPI

Elite Extremity MRI of Wisconsin, LLC

  • Specialist
  • Milwaukee, WI
National Provider Identifier
1306201330
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ELITE EXTREMITY MRI OF WISCONSIN, LLC
Practice address
4931 S 27TH St
Milwaukee, WI 53221-2652
Phone
(414) 249-3250
NPI assigned
Dec 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4931 S 27TH St
Milwaukee, WI 53221-2652

Mailing address

1050 Milwaukee Ave Ste 102
Burlington, WI 53105-1380
Phone (262) 758-6155

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1450310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1306201330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MILWAUKEE AVE STE 102",
            "city": "BURLINGTON",
            "state": "WI",
            "postal_code": "531051380",
            "telephone_number": "262-758-6155",
            "fax_number": "262-758-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212652",
            "telephone_number": "414-249-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE EXTREMITY MRI OF WISCONSIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-17",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "LUDGATIS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-496-3838"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.