Midwest Open Mri, Llc

LBN: Midwest Open Mri, Llc
Midwest Open Mri, Llc is an health care organization with primary practice located at 8309 Greenway Boulevard, Suite 100 , Middleton WI 53562. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Midwest Open Mri, Llc can be contacted via phone (608) 836-7220, or through Kottwitz, Connie J. via phone (608) 836-7220.

Contact Information

Primary practice address
8309 Greenway Boulevard, Suite 100 Middleton WI 53562
Fax: (608) 836-7229
Website:
Authorized official contact:
Name: Kottwitz, Connie J.

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1790796936
LBN Legal business name Midwest Open Mri, Llc
DBA Doing business as
Authorized official Kottwitz, Connie J.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Apr 11th, 2014 - about 12 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 1790796936 NPPES
Wisconsin MEDICAID 32877200

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