Organization
SMART CHOICE MRI LLC
Active
Other names
Smart Choice MRI La Crosse
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE PETKIEWICZ (BILLING MANAGER)
(312) 983-7196
Entity
Organization
Contact information
Practice address
1580 HERITAGE BLVD, WEST SALEM, WI 54669-9418
(844) 633-3674
(844) 332-3974
Mailing address
737 N MICHIGAN AVE STE 2200, CHICAGO, IL 60611-6750
(312) 983-7196
(414) 755-7706
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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