Smart Choice MRI LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SMART CHOICE MRI LLC

Practice address

1621 Miller Park Way
West Milwaukee, WI 53214-3605

Phone

(414) 431-0309

Fax

(414) 672-2292

NPI assigned

Aug 9, 2006

Last updated

Mar 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christine M Herbst

Title

VP, Operations

Phone

(414) 807-5733

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Thedacare, Incorporated

  dba ThedaCare Behavioral Health

  • Counselor
  • Menasha, WI
  • NPI 1306959515

  Member Of

  NPD member
• Edward Health Ventures

  • Neurological Surgery Physician
  • Plainfield, IL
  • NPI 1043632136

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1326058645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10532 NORTH PORT WASHINGTON ROAD",
            "address_2": "SUITE 1B",
            "city": "MEGQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "414-431-0309",
            "fax_number": "414-672-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 MILLER PARK WAY",
            "city": "WEST MILWAUKEE",
            "state": "WI",
            "postal_code": "532143605",
            "telephone_number": "414-431-0309",
            "fax_number": "414-672-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART CHOICE MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "HERBST",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP, OPERATIONS",
        "authorized_official_telephone_number": "414-807-5733"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21309000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel G Schmidt, LAC
• Andrea Schneider
• Justin Schwarz, PHARMD
• Karmen W Seltz, LPC, CADC III
• Jacqueline Sills, SAC-IT
• Tiffany Smith
• Rae Ann Stewart
• Thomas Stocking
• Traci Ann Strait, RN
• Dawn Marie Suchorski, SAC-IT

• Diagnostic Radiology Physician in West Milwaukee, WI
• Providers in West Milwaukee, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.