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LAKESIDE DIAGNOSTIC IMAGING CENTER, LLC
NPI 1639111016
Radiology - Diagnostic Radiology in Shorewood, WI

Active since June 12, 2006
4601 N OAKLAND AVE, SHOREWOOD, WI 53211(414) 964-4601(414) 964-4616 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Diagnostic Imaging Center, Llc NPPES

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

LAKESIDE DIAGNOSTIC IMAGING CENTER, LLC (NPI 1639111016) is a healthcare organization registered as a diagnostic radiology in Shorewood, Wisconsin and active in the NPI registry since June 2006. The organization lists Bruce W. Cardone, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1639111016
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLAKESIDE DIAGNOSTIC IMAGING CENTER, LLC
Location Address4601 N OAKLAND AVEShorewood, WI 53211-1232
Mailing Address4601 N Oakland AveShorewood, WI 53211-1232 · (414) 964-4601 · Fax (414) 964-4616
Phone(414) 964-4601
Fax(414) 964-4616
Organization SubpartNo
Authorized OfficialBruce W. CardoneAuthorized Official · (414) 964-4601
Enumeration DateJune 12, 2006
Last NPPES UpdateMarch 25, 2008
✔ NPI 1639111016 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.
4601 N OAKLAND AVE, Shorewood, WI 53211
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Other Identifiers 1

Medicaid21258300WI

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFESTEPS WELLNESS CLINIC
Internal Medicine
4601 N OAKLAND AVE
SHOREWOOD, WI 53211
Milwaukee County (414) 643-4430
GFI RADIOLOGY INC
Radiology (Diagnostic Radiology)
4601 N OAKLAND AVE
SHOREWOOD, WI 53211
Milwaukee County (414) 964-4601
KRISTEN MARIE WHITE LMT
Massage Therapist
4601 N OAKLAND AVE
SHOREWOOD, WI 53211
Milwaukee County (414) 659-1931
LAURA CHRISTINE GILLIS L.AC.
Acupuncturist
4601 N OAKLAND AVE
SHOREWOOD, WI 53211
Milwaukee County (866) 855-5365
LAKESIDE DIAGNOSTIC IMAGING LLC
Radiology (Diagnostic Radiology)
4601 N OAKLAND AVE
SHOREWOOD, WI 53211
Milwaukee County (414) 964-4601
JENNIFER E TRIBBLE M.D.
Radiology (Diagnostic Radiology)
4601 N OAKLAND AVE
SHOREWOOD, WI 53211
Milwaukee County (414) 964-4601
BIF IMAGING LLC
Radiology (Diagnostic Radiology)
4601 N OAKLAND AVE
SHOREWOOD, WI 53211
Milwaukee County (414) 964-4601

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 Lakeside Diagnostic Imaging Center, LLC's NPI number?

The NPI number for Lakeside Diagnostic Imaging Center, LLC is 1639111016. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Lakeside Diagnostic Imaging Center, LLC located?

Lakeside Diagnostic Imaging Center, LLC is located at 4601 N Oakland Ave, Shorewood, WI 53211. The listed phone number is (414) 964-4601.

What is Lakeside Diagnostic Imaging Center, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lakeside Diagnostic Imaging Center, LLC was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.