Active NPI
Livito LLC
- Mobile Mammography Clinic/Center
- Kenosha, WI
National Provider Identifier
1992954861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Mammography Clinic/Center
- License
- 398056
- Legal business name
- LIVITO LLC
- Practice address
- 5028 46TH Ave
Kenosha, WI 53144-2025 - Phone
- (773) 837-4258
- NPI assigned
- Sep 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Vito Ciparis, MBA, RT (R)
- Title
- Ceo
- Phone
- (773) 837-4258
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Mammography Clinic/Center | 261QR0207X | 398056 | WI | Primary |
Addresses
Primary practice location
5028 46TH Ave
Kenosha, WI 53144-2025
Mailing address
5028 46TH Ave
Kenosha, WI 53144-2025
Phone (773) 837-4258
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1992954861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5028 46TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531442025",
"telephone_number": "773-837-4258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5028 46TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531442025",
"telephone_number": "773-837-4258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVITO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "CIPARIS",
"authorized_official_first_name": "VITO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "773-837-4258",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MBA, RT (R)"
},
"taxonomies": [
{
"code": "261QR0207X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile Mammography",
"state": "WI",
"license": "398056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.