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Organization
SMART CHOICE MRI LLC
Active
Organization
SMART CHOICE MRI LLC
Active
Other names
Smart Choice MRI La Crosse
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PETKIEWICZ (BILLING MANAGER)
(312) 983-7196
Entity
Organization
Contact information
Practice address
1580 HERITAGE BLVD, WEST SALEM, WI 54669-9418
(844) 633-3674
(844) 332-3974
Mailing address
737 N MICHIGAN AVE STE 2200, CHICAGO, IL 60611-6750
(312) 983-7196
(414) 755-7706
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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