Organization
SMART CHOICE MRI, LLC
Active
Other names
Smart Choice MRI Appleton
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE MARIE HERBST RN (VP OPERATIONS)
(414) 807-5733
Entity
Organization
Contact information
Practice address
3525 E CALUMET ST STE 1500, APPLETON, WI 54915-4181
(844) 633-3674
(414) 672-2292
Mailing address
10532 N PORT WASHINGTON RD STE 1B, MEQUON, WI 53092-5563
(844) 633-3674
(414) 672-2292
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21309000
—
WI
Enumeration date
09/23/2015
Last updated
09/23/2015
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