# SMART CHOICE MRI LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smart Choice MRI La Crosse
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457918781
- **Authorized official:** GEORGE PETKIEWICZ (BILLING MANAGER)
- **Authorized official phone:** (312) 983-7196

## Contact information

- **Practice address:** 1580 HERITAGE BLVD, WEST SALEM, WI 54669-9418
- **Practice address phone:** (844) 633-3674
- **Practice address fax:** (844) 332-3974
- **Mailing address:** 737 N MICHIGAN AVE STE 2200, CHICAGO, IL 60611-6750
- **Mailing address phone:** (312) 983-7196
- **Mailing address fax:** (414) 755-7706

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2019
- **Last updated:** 05/22/2019