Organization
VITAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN ARTHUR BURLINGAME (DIRECTOR OF OPERATIONS)
(414) 774-7600
Entity
Organization
Contact information
Practice address
10500 W LOOMIS RD, SUITE 132, FRANKLIN, WI 53132-8030
(414) 774-7600
(414) 774-7100
Mailing address
10500 W LOOMIS RD, SUITE 132, FRANKLIN, WI 53132-8030
(414) 774-7600
(414) 774-7100
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
XM110231
WI
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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