Mayfair Radiology, Inc.

LBN: Mayfair Radiology, Inc.
Mayfair Radiology, Inc. is an health care organization with primary practice located at 10400 W North Ave Suite 300, Milwaukee WI 53226-2425. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Mayfair Radiology, Inc. can be contacted via phone (414) 771-7470, or through Lye, Dale via phone (414) 771-7470.

Contact Information

Primary practice address
10400 W North Ave Suite 300 Milwaukee WI 53226-2425
Phone: (414) 771-7470
Fax: (414) 771-7493
Website:
Map and Directions
Authorized official contact:
Name: Lye, Dale Doctor of Medicine (MD)
Phone: (414) 771-7470

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1669417341
LBN Legal business name Mayfair Radiology, Inc.
DBA Doing business as
Authorized official Lye, Dale Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 31st, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669417341 NPPES
Wisconsin MEDICAID 32702600

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