Organization
LIVITO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VITO CIPARIS MBA, RT (R) (CEO)
(773) 837-4258
Entity
Organization
Contact information
Practice address
5028 46TH AVE, KENOSHA, WI 53144-2025
(773) 837-4258
Mailing address
5028 46TH AVE, KENOSHA, WI 53144-2025
(773) 837-4258
Taxonomy
Speciality
Code
Description
License number
State
261QR0207X
Mobile Mammography Clinic/Center
Primary
398056
WI
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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