Discovery Imaging Center

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

DISCOVERY IMAGING CENTER

Practice address

8522 W Capitol Dr
Milwaukee, WI 53222-1827

Phone

(414) 736-9943

Fax

(414) 539-3222

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Tamara Conner

Title

Managing Partner

Phone

(414) 304-9132

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1407520380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8522 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221827",
            "telephone_number": "414-763-9949",
            "fax_number": "414-539-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8522 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221827",
            "telephone_number": "414-736-9943",
            "fax_number": "414-539-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "414-304-9132"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Direct Care Supportive Service LLC
• Direct Medsupply, LLC.
• Direct Supply, Inc.
• Disabilities Unlimited Inc.
• Kaitlyn Disalvo
• Discovery Practice Management, Inc.
• Discovery Practice Management, Inc.
• Discovery Research International
• Acacia Frances Dishman, PHD
• Patrick Jay Disterhaft Jr., DO, MPH

• Radiology Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Radiology Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.