# ST CLARE IMAGING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639152770
- **Authorized official:** TROY WALKER (DIRECTOR OF FINANCE)
- **Authorized official phone:** (608) 356-1423

## Contact information

- **Practice address:** 707 14TH ST, BARABOO, WI 53913-1539
- **Practice address phone:** (608) 356-1400
- **Mailing address:** 707 14TH ST, BARABOO, WI 53913-1539
- **Mailing address phone:** (608) 356-1400

## Taxonomy

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

## Other

- **Enumeration date:** 11/22/2005
- **Last updated:** 11/27/2023