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LAKESHORE RADIOLOGY ASSOCIATES SC
NPI 1346265915
Radiology - Diagnostic Radiology in Manitowoc, WI

Active since July 13, 2006
2300 WESTERN AVE, MANITOWOC, WI 54221(920) 320-3800 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 22, 2021, Mar 18, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Lakeshore Radiology Associates Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKESHORE RADIOLOGY ASSOCIATES SC (NPI 1346265915) is a healthcare organization registered as a diagnostic radiology in Manitowoc, Wisconsin and active in the NPI registry since July 2006. The organization lists Matthew J Koeberl, Vice President, as its authorized official.

NPPES Registry Identity

NPI1346265915
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLAKESHORE RADIOLOGY ASSOCIATES SC
Location Address2300 WESTERN AVEManitowoc, WI 54221-1450
Mailing Address2300 Western AveManitowoc, WI 54220-3712 · (920) 320-3800
Phone(920) 320-3800
Organization SubpartNo
Authorized OfficialMatthew J KoeberlVice President · (920) 320-3800
Enumeration DateJuly 13, 2006
Last NPPES UpdateMarch 22, 20213 updates tracked since enumeration
NPPES CertifiedMarch 22, 2021
✔ NPI 1346265915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2300 WESTERN AVE, Manitowoc, WI 54221
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Other Identifiers 1

Medicaid32729200WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Radiology Associates Sc's NPI number?

The NPI number for Lakeshore Radiology Associates Sc is 1346265915. It was assigned to this organization in the NPPES registry on July 13, 2006.

Where is Lakeshore Radiology Associates Sc located?

Lakeshore Radiology Associates Sc is located at 2300 Western Ave, Manitowoc, WI 54221. The listed phone number is (920) 320-3800.

What is Lakeshore Radiology Associates Sc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Lakeshore Radiology Associates Sc accept?

Health plans from Anthem Blue Cross and Blue Shield list Lakeshore Radiology Associates Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeshore Radiology Associates Sc was last updated on March 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.