Provider Demographics
NPI:1609515865
Name:VIARO LLC
Entity Type:Organization
Organization Name:VIARO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:REISENAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-519-4452
Mailing Address - Street 1:333 FRONT ST N
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-3220
Mailing Address - Country:US
Mailing Address - Phone:608-519-4452
Mailing Address - Fax:608-420-6618
Practice Address - Street 1:230 PINE ST
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-3367
Practice Address - Country:US
Practice Address - Phone:608-519-4452
Practice Address - Fax:608-420-6618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-03
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty