Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coulee Diagnostic Radiology Inc

Organization Radiology Clinic/Center · NPI 1063036408

Coulee Diagnostic Radiology Inc is a Radiology Clinic/Center in West Salem, Wisconsin. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1580 Heritage Blvd
West Salem, WI 54669-9418
Phone: (608) 518-3406
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X
Mammography Clinic/Center Taxonomy 261QR0206X

Record details

NPI number1063036408
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emmanuel Omoba — Managing Director · (608) 518-3406
NPI enumeratedJune 1, 2020
Last updated in NPPESJune 15, 2020
Certification dateJune 15, 2020
Mailing address807 Barson Ct, Onalaska, WI 54650-3603