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

Great Lakes Radiologists SC

Organization Diagnostic Radiology Physician · NPI 1609800291

Great Lakes Radiologists SC is a Diagnostic Radiology Physician in New Berlin, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

2875 S 171st St
New Berlin, WI 53151-3200
Phone: (262) 786-3107
Fax: (262) 780-0442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1609800291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Thomas Grossman — Chief Operating Officer · (262) 780-0357
NPI enumeratedJuly 10, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 511400, New Berlin, WI 53151-3200

Other providers in New Berlin