# DIAGNOSTIC & TREATMENT CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Diagnostic & Surgical Service Center, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659385540
- **Authorized official:** COLLEEN CHISNELL (SENIOR DIRECTOR OF FINANCE)
- **Authorized official phone:** (715) 393-2499

## Contact information

- **Practice address:** 3401 CRANBERRY BLVD, WESTON, WI 54476
- **Practice address phone:** (715) 393-2489
- **Practice address fax:** (715) 241-9475
- **Mailing address:** 3401 CRANBERRY BLVD, WESTON, WI 54476
- **Mailing address phone:** (715) 393-2489
- **Mailing address fax:** (715) 241-9475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 05/14/2015
