# SHARED MAGNETIC RESONANCE IMAGING FACILITY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SSM Health Cancer Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780640532
- **Authorized official:** BARBARA J THIERMANN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (608) 259-4438

## Contact information

- **Practice address:** 1104 JOHN NOLEN DR, SUITE 1, MADISON, WI 53713-1430
- **Practice address phone:** (608) 251-6868
- **Practice address fax:** (608) 251-4255
- **Mailing address:** 1104 JOHN NOLEN DR, SUITE 1, MADISON, WI 53713-1430
- **Mailing address phone:** (608) 251-6868
- **Mailing address fax:** (608) 251-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/21/2006
- **Last updated:** 01/08/2024