LAKESIDE DIAGNOSTIC IMAGING LLC
NPI 1407898992
Radiology - Diagnostic Radiology in Shorewood, WI
NPI Status: Active since June 11, 2006
Contact Information
4601 N OAKLAND AVE
SHOREWOOD, WI
ZIP 53211
Phone: (414) 964-4601
Fax: (414) 964-4616
- Organization
- Radiology
- Diagnostic Radiology
- CLIA Number: 52D0390467
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About LAKESIDE DIAGNOSTIC IMAGING LLC
This page provides the complete NPI Profile along with additional information for Lakeside Diagnostic Imaging Llc, a provider established in Shorewood, Wisconsin operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1407898992 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Bruce W Cardone Md (President)
- NPI
- 1407898992
- Provider Name
- LAKESIDE DIAGNOSTIC IMAGING LLC
- Entity Type
- Organization
- Location Address
- 4601 N OAKLAND AVE SHOREWOOD, WI 53211
- Location Phone
- (414) 964-4601
- Location Fax
- (414) 964-4616
- Mailing Address
- 6400 INDUSTRIAL LOOP GREENDALE, WI 53129
- Mailing Phone
- (414) 423-4100
- Mailing Fax
- (414) 964-4616
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-11-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D0390467
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- KATHLEEN M. TREBIAN, MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lakeside Diagnostic Imaging Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for LAKESIDE DIAGNOSTIC IMAGING LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1407898992, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 78 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
SHOREWOOD, WI 53211
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407898992, enumerated as an "organization" on June 11, 2006.
The provider is located at 4601 N OAKLAND AVE SHOREWOOD, WI 53211 and the phone number is (414) 964-4601.
Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.
