GREAT LAKES RADIOLOGISTS SC – Diagnostic Radiology Physician, NPI 1609800291

GREAT LAKES RADIOLOGISTS SC is a healthcare provider. based in New berlin, Wisconsin. specializing in Diagnostic Radiology Physician. The NPI Number for GREAT LAKES RADIOLOGISTS SC is 1609800291

Main info

Organization
Name
GREAT LAKES RADIOLOGISTS SC
NPI
1609800291
Phone
(262) 786-3107
Address
2875 S 171ST ST
Authorized Official
MR. THOMAS GROSSMAN CHIEF OPERATING OFFICER
Enumeration Date
10 July 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for GREAT LAKES RADIOLOGISTS SC

  • 2875, South 171st Street, New Berlin Industrial Park, New Berlin, Waukesha County, Wisconsin, 53151, United States

    NEW BERLIN, WI 531513200

    Phone: (262) 786-3107

    Fax: (262) 780-0442

    Type: Location

  • PO BOX 511400

    NEW BERLIN, WI 531513200

    Phone: (262) 786-3107

    Fax: (262) 780-0442

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53151)

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Reviews

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Frequently asked questions

Can I use this page to confirm GREAT LAKES RADIOLOGISTS SC's NPI?
Yes. GREAT LAKES RADIOLOGISTS SC is listed with NPI 1609800291 in the public NPI dataset.
Does the file indicate GREAT LAKES RADIOLOGISTS SC is practicing under active NPI?
Directory data currently reports GREAT LAKES RADIOLOGISTS SC as active.
What is GREAT LAKES RADIOLOGISTS SC best known for clinically?
Directory data describes GREAT LAKES RADIOLOGISTS SC with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Does GREAT LAKES RADIOLOGISTS SC list a practice location?
Patients near New Berlin, Wisconsin may find GREAT LAKES RADIOLOGISTS SC in results; validate coverage separately.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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