Diagnostic & Treatment Center, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DIAGNOSTIC & TREATMENT CENTER, LLC

Practice address

3401 Cranberry Blvd
Weston, WI 54476

Phone

(715) 393-2489

Fax

(715) 241-9475

NPI assigned

Sep 20, 2006

Last updated

May 13, 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

Colleen Chisnell

Title

Senior Director of Finance

Phone

(715) 393-2499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Diagnostic & Surgical Service Center, LLC Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron R Dagit, DO

  • Body Imaging Physician
  • Marshfield, WI
  • NPI 1376531228
  NPD (past)
• Joel A Nielsen, DO

  • Diagnostic Radiology Physician
  • Weston, WI
  • NPI 1528070455
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1841398591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CRANBERRY BLVD",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "54476",
            "telephone_number": "715-393-2489",
            "fax_number": "715-241-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CRANBERRY BLVD",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "54476",
            "telephone_number": "715-393-2489",
            "fax_number": "715-241-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC & TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "CHISNELL",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "715-393-2499"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41226200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic & Surgical Service Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Diagnostic & Treatment Center, LLC
• Diagnostic & Treatment Center, LLC
• Diagnostic & Treatment Center, LLC
• Diagnostic & Treatment Center, LLC
• Diagnostic & Treatment Center, LLC
• Diaspora Radiology, SC (Smart Scan Medical Imaging Wausau)
• Lisa Dickas
• Martin S. Digler, PA
• Kristin D Doede, FNP
• Thomas P Doering, DO

• Physical Therapy Clinic/Center in Weston, WI
• Providers in Weston, WI by specialty
• Physical Therapy Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.