Provider Demographics
NPI:1225135775
Name:CLEARVIEW MEDICAL IMAGING, LLC
Entity Type:Organization
Organization Name:CLEARVIEW MEDICAL IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:KNUTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-732-4534
Mailing Address - Street 1:13400 BISHOP'S LANE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53005
Mailing Address - Country:US
Mailing Address - Phone:262-754-9400
Mailing Address - Fax:262-754-9401
Practice Address - Street 1:5205 N. IRONWOOD ROAD
Practice Address - Street 2:SUITE 104
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217
Practice Address - Country:US
Practice Address - Phone:262-754-9400
Practice Address - Fax:262-754-9401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246W00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, CardiologyGroup - Single Specialty