Organization · Type 2 NPI

Lakeside Diagnostic Imaging LLC

Diagnostic Radiology Physician · Shorewood, WI

NPI number 1407898992 Active

About NPI 1407898992

Lakeside Diagnostic Imaging LLC's National Provider Identifier is 1407898992, issued on Jun 11, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Shorewood, WI. The record was last updated on Aug 22, 2020.