NPIMap

Organization Active NPI

Smart Choice MRI LLC

Doing business as Smart Choice MRI La Crosse

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • West Salem, WI
National Provider Identifier
1457918781
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
SMART CHOICE MRI LLC
Doing business as
Smart Choice MRI La Crosse
Practice address
1580 Heritage Blvd
West Salem, WI 54669-9418
Phone
(844) 633-3674
Fax
(844) 332-3974
NPI assigned
May 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
George Petkiewicz
Title
Billing Manager
Phone
(312) 983-7196

Specialties & licenses 1

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

Addresses

Primary practice location

1580 Heritage Blvd
West Salem, WI 54669-9418

Mailing address

737 N Michigan Ave Ste 2200
Chicago, IL 60611-6750
Phone (312) 983-7196

Other names 1

  • Smart Choice MRI La Crosse Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smart Choice MRI LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1457918781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 N MICHIGAN AVE STE 2200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116750",
            "telephone_number": "312-983-7196",
            "fax_number": "414-755-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 HERITAGE BLVD",
            "city": "WEST SALEM",
            "state": "WI",
            "postal_code": "546699418",
            "telephone_number": "844-633-3674",
            "fax_number": "844-332-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART CHOICE MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-22",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "PETKIEWICZ",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "312-983-7196"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smart Choice MRI La Crosse",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Salem, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.