Hales Corners Mri, Llc
LBN: Hales Corners Mri, Llc
Hales Corners Mri, Llc is an health care organization with primary practice located at 11035 W Forest Home Ave Suite 118, Hales Corners WI 53130-2541. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) is the primary health care specialty.
Hales Corners Mri, Llc can be contacted via phone (414) 525-9000, or through Sage, Edwin C. via phone (877) 444-4540.
Contact Information
Primary practice address
11035 W Forest Home Ave Suite 118
Hales Corners WI 53130-2541
Phone: (414) 525-9000
Fax: (414) 525-9070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) | 261QM1200X | ||
| Ambulatory Health Care Facilities / Radiology | 261QR0200X |
Profile Details
| NPI number | 1336195304 |
|---|---|
| LBN Legal business name | Hales Corners Mri, Llc |
| DBA Doing business as | |
| Authorized official | Sage, Edwin C. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Jan 1st, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336195304 | NPPES |
| Wisconsin | MEDICAID | 32896300 | |
| Wisconsin | Other | P00186791 |
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