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

Lakeside Diagnostic Imaging Center, LLC

Organization Diagnostic Radiology Physician · NPI 1639111016

Lakeside Diagnostic Imaging Center, LLC is a Diagnostic Radiology Physician in Shorewood, Wisconsin. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4601 N Oakland Ave
Shorewood, WI 53211-1232
Phone: (414) 964-4601
Fax: (414) 964-4616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X

Record details

NPI number1639111016
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Cardone — Authorized Official · (414) 964-4601
NPI enumeratedJune 12, 2006
Last updated in NPPESMarch 25, 2008
Mailing address4601 N Oakland Ave, Shorewood, WI 53211-1232

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