SHARED MEDICAL SERVICES, INC.

Provider Demographics

• NPI: 1295785079
• Name: SHARED MEDICAL SERVICES, INC.
• Entity type: Organization
• Organization Name: SHARED MEDICAL SERVICES, INC.
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: CEO/PRESIDENT
• Authorized Official - First Name: LISA
• Authorized Official - Middle Name: A
• Authorized Official - Last Name: ARINGTON
• Authorized Official - Phone: 608-839-9050
• Mailing Address - Street 1: 209 LIMESTONE PASS
• Mailing Address - City: COTTAGE GROVE
• Mailing Address - State: WI
• Mailing Address - Zip Code: 53527-8968
• Mailing Address - Country: US
• Mailing Address - Phone: 608-839-9050
• Mailing Address - Fax: 608-839-8950
• Practice Address - Street 1: 209 LIMESTONE PASS
• Practice Address - City: COTTAGE GROVE
• Practice Address - State: WI
• Practice Address - Zip Code: 53527
• Practice Address - Country: US
• Practice Address - Phone: 608-839-9050
• Practice Address - Fax: 608-839-8950
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2006-05-11
• Last Update Date: 2017-07-19

Provider Licenses

State	License ID	Taxonomies
WI	25120901	261QR0208X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	261QR0208X	Ambulatory Health Care Facilities	Clinic/Center	Radiology, Mobile

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IN	IN1130	Medicare PIN
WI	000092650	Medicare PIN
MO	MA1343	Medicare PIN
AR	5F168	Medicare PIN
IL	IL7575	Medicare PIN
IL	IL5247	Medicare PIN
IL	IL7669	Medicare PIN
IN	IN1097	Medicare PIN
MO	MA1529	Medicare PIN
KS	130618	Medicare PIN
IL	217025	Medicare PIN
IN	IN1326	Medicare PIN
MO	MA4223	Medicare PIN
IA	I16068	Medicare PIN
IA	IB1258	Medicare PIN
IL	IL7551	Medicare PIN
KS	KA1325	Medicare PIN
MO	000047013	Medicare PIN
IA	IB1175	Medicare PIN
IA	IB1371	Medicare PIN
MO	MA2160	Medicare PIN
MO	MA4223	Medicare PIN
MO	000047013	Medicare PIN
IA	IB1175	Medicare PIN
IA	IB1371	Medicare PIN
MO	MA2160	Medicare PIN
MO	MA3672	Medicare PIN