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Lakeshore Radiology Associates Sc

Diagnostic Radiology Physician in Manitowoc, WI · enumerated 2006 · authorized official Matthew Koeberl, Vice President.

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

National Provider Identifier

1346265915

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeshore Radiology Associates Sc
Practice address 2300 Western Ave, Manitowoc, WI, 54221
Enumeration date Jul 13, 2006
Last updated in NPPES Mar 22, 2021

Taxonomy & classification

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Matthew Koeberl
Title Vice President

Other identifiers

Identifier Type State Issuer
32729200 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

Who is the authorized official for Lakeshore Radiology Associates Sc?
NPPES lists Matthew Koeberl (Vice President) as the authorized official for this organization.
What is the NPI number for Lakeshore Radiology Associates Sc?
The NPI for Lakeshore Radiology Associates Sc is 1346265915, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-22.