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Coulee Diagnostic Radiology Inc

Radiology Clinic/Center in West Salem, WI · enumerated 2020 · authorized official Emmanuel Omoba, Managing Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063036408

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Registry record

Entity type Organization (Type 2)
Legal business name Coulee Diagnostic Radiology Inc
Practice address 1580 Heritage Blvd, West Salem, WI, 54669
Phone (608) 518-3406
Enumeration date Jun 1, 2020
Last updated in NPPES Jun 15, 2020

Taxonomy & classification

261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Primary
261QR0206X Mammography Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Emmanuel Omoba
Title Managing Director
Phone (608) 518-3406

Other identifiers

Identifier Type State Issuer
F37837 Medicaid WI -
32447500 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Coulee Diagnostic Radiology Inc?
The NPI for Coulee Diagnostic Radiology Inc is 1063036408, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Coulee Diagnostic Radiology Inc?
NPPES lists Emmanuel Omoba (Managing Director) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-06-15.