Provider Demographics
NPI:1811919426
Name:MEDICAL SCANNING CONSULTANTS, P.A.
Entity type:Organization
Organization Name:MEDICAL SCANNING CONSULTANTS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER (TREASURER)
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SPARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-738-4810
Mailing Address - Street 1:PO BOX 856702
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55485-6700
Mailing Address - Country:US
Mailing Address - Phone:866-674-7933
Mailing Address - Fax:952-513-6880
Practice Address - Street 1:2445 N MAYFAIR RD
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53226-1401
Practice Address - Country:US
Practice Address - Phone:414-774-7226
Practice Address - Fax:414-774-6004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI68220Medicare PIN
WI01260Medicare PIN