Organization Active NPI

Newisconsin MRI Center of Green Bay LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Green Bay, WI
National Provider Identifier
1356397616
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
NEWISCONSIN MRI CENTER OF GREEN BAY LLC
Practice address
2141 Lime Kiln Rd
Green Bay, WI 54311-6215
Phone
(920) 431-7120
Fax
(920) 431-7537
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Cindy Lemmer
Title
Chief Financial Officer
Phone
(920) 431-7120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

2141 Lime Kiln Rd
Green Bay, WI 54311-6215

Mailing address

2141 Lime Kiln Rd
Green Bay, WI 54311-6215
Phone (920) 431-7120

Other identifiers 2

IdentifierTypeStateIssuer
21297900MedicaidWI
1059612001OtherWIAMERICHOICE MEDICAID

National Provider Directory

National Provider Directory

Locations

2141 Lime Kiln Rd
Green Bay, WI 54311
Phone (920) 431-7120

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1356397616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 LIME KILN RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116215",
            "telephone_number": "920-431-7120",
            "fax_number": "920-431-7537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 LIME KILN RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543116215",
            "telephone_number": "920-431-7120",
            "fax_number": "920-431-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWISCONSIN MRI CENTER OF GREEN BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LEMMER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "920-431-7120",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21297900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE MEDICAID",
            "identifier": "1059612001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.