Organization Active NPI

Germantown Medical Imaging, LLC

  • Radiology Clinic/Center
  • Germantown, WI
National Provider Identifier
1598056335
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
GERMANTOWN MEDICAL IMAGING, LLC
Practice address
W178N9912 Rivercrest Dr
Suite 102-a
Germantown, WI 53022-4645
Phone
(815) 985-5260
Fax
(815) 885-1062
NPI assigned
Apr 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Mr. Steven A. Metcalf
Title
Administrator
Phone
(815) 985-5260

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

W178N9912 Rivercrest Dr
Suite 102-a
Germantown, WI 53022-4645

Mailing address

PO Box 6368
Rockford, IL 61125-1368
Phone (815) 985-5260

National Provider Directory

National Provider Directory

Locations

W178N9912 Rivercrest Dr
Ste 102A
Germantown, WI 53022
Phone (815) 985-5260

NPI Registry JSON

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1598056335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6368",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611251368",
            "telephone_number": "815-985-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W178N9912 RIVERCREST DR",
            "address_2": "SUITE 102-A",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224645",
            "telephone_number": "815-985-5260",
            "fax_number": "815-885-1062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "METCALF",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-985-5260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.