NPIMap

Organization Active NPI

Cdi Delafield LLC

Doing business as Center for Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Delafield, WI
National Provider Identifier
1902873334
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CDI DELAFIELD LLC
Doing business as
Center for Diagnostic Imaging
Practice address
2574 Sun Valley Drive
Suite 100
Delafield, WI 53018
Phone
(262) 646-5199
Fax
(262) 646-5788
NPI assigned
Mar 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Donald D Jacobsen
Title
Officer on the Board Secretary
Phone
(952) 543-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

2574 Sun Valley Drive
Suite 100
Delafield, WI 53018

Mailing address

PO Box 2088
Dept 4129
Milwaukee, WI 53201-2088
Phone (952) 542-8553

Other names 1

  • Center for Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902873334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "address_2": "DEPT 4129",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532012088",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2574 SUN VALLEY DRIVE",
            "address_2": "SUITE 100",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "53018",
            "telephone_number": "262-646-5199",
            "fax_number": "262-646-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDI DELAFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER ON THE BOARD SECRETARY",
        "authorized_official_telephone_number": "952-543-6500"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delafield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.