{"npi":"1427165331","type":"NPI-2","status":"active","name":{"display":"Medical Diagnostic Imaging LLC","other":[],"organization_name":"MEDICAL DIAGNOSTIC IMAGING LLC","authorised_official":"Pamela Carlsen"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6150 W LAYTON AVE","city":"GREENFIELD","state":"WI","postal_code":"532204608","country_code":"US","phone":"4142824100","fax":"4142824105"},{"purpose":"MAILING","street_1":"6150 WEST LAYTON AVE","city":"GREENFIELD","state":"WI","postal_code":"53220","country_code":"US","phone":"4142824100","fax":"4142824108"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"32896000","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20201014002182","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IL","pac_id":"0042107641"},{"enrlmt_id":"O20220420002932","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CT","pac_id":"0042107641"},{"enrlmt_id":"O20220615000858","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WI","pac_id":"0042107641"},{"enrlmt_id":"O20230123000160","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MP","pac_id":"0042107641"},{"enrlmt_id":"O20250925001046","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"0042107641"}]},"enumeration_date":"2006-08-24","last_updated":"2021-02-05","_meta":{"source":"NPPES","snapshot_date":"2021-02-05","doc_url":"https://findmynpi.com/api"}}