Pediatric Diagnostic Imaging, S.C.

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PEDIATRIC DIAGNOSTIC IMAGING, S.C.

Practice address

10500 W Loomis Rd Ste 120
Franklin, WI 53132-8111

Phone

(414) 847-1800

Fax

(414) 847-1820

NPI assigned

Jul 18, 2007

Organization subpart

Yes

Parent organization

PEDIATRIC DIAGNOSTIC IMAGING, S.C.As reported in NPPES

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

Authorized official

Name

Ms. Susan June Knight, MBA

Title

Business Manager

Phone

(414) 847-1800

Specialties & licenses 1

Addresses

Part of

Pediatric Diagnostic Imaging SC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pediatric Diagnostic Imaging, S.C.

  • Radiology Clinic/Center
  • Milwaukee, WI
  • NPI 1033121629
  NPPES parent name

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1972703031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 120",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328111",
            "telephone_number": "414-847-1800",
            "fax_number": "414-847-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 120",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328111",
            "telephone_number": "414-847-1800",
            "fax_number": "414-847-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DIAGNOSTIC IMAGING, S.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEDIATRIC DIAGNOSTIC IMAGING, S.C.",
        "enumeration_date": "2007-07-18",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "414-847-1800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Paul
• Aaron Pavelski, DDS
• Kristen Pawlak, LCSW
• Lauren Marie Pawlowski, DPT
• Pederson Homecare LLC Bda Visiting Angels (Visiting Angels)
• Eric Pelky
• Katherine Theresa Pellino, MD
• Debra Marie Pendergast, NP
• Joann M Pennington, P.A.
• William T Pennington, MD

• Radiology Clinic/Center in Franklin, WI
• Providers in Franklin, 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 Jul 18, 2007; 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.