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NPI Code Detail

MEDICARE: GFI RADIOLOGY INC

MEDICARE: GFI RADIOLOGY INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician

General Provider Information

NPI Number : 1326019548
Entity Type Code : Organization
Provider Name (Legal Business Name) : GFI RADIOLOGY INC
Provider Business Mailing Address
First Line : 6400 INDUSTRIAL LOOP
Second Line :
City : GREENDALE
State : WI
Zip : 53129-2452
Country : US
Telephone Number : 414-423-4100
Fax Number : 414-423-4134
Provider Business Practice Location Address
First Line : 4601 N OAKLAND AVE
Second Line :
City : SHOREWOOD
State : WI
Zip : 53211-1232
Country : US
Telephone Number : 414-964-4601
Fax Number : 414-964-4616
Authorized Official
Title or Position : PRESIDENT
Name : DR. NEIL TABAKIN
Credential : M.D.
Telephone Number : 262-241-5194
Provider Enumeration Date : 01/27/2006
Last Update Date : 08/22/2020

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