Hales Corners Imaging, Llc

LBN: Hales Corners Imaging, Llc
Hales Corners Imaging, Llc is an health care organization with primary practice located at 11035 W Forest Home Ave Suite 103, Hales Corners WI 53130-2541. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Hales Corners Imaging, Llc can be contacted via phone (414) 425-6602, or through Sage, Edwin via phone (630) 514-8503.

Contact Information

Primary practice address
11035 W Forest Home Ave Suite 103 Hales Corners WI 53130-2541
Phone: (414) 425-6602
Fax: (414) 425-6604
Website:
Map and Directions
Authorized official contact:
Name: Sage, Edwin
Phone: (630) 514-8503

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1518913573
LBN Legal business name Hales Corners Imaging, Llc
DBA Doing business as
Authorized official Sage, Edwin
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Dec 7th, 2007 - about 17 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 1518913573 NPPES
Wisconsin MEDICAID 21269000
Wisconsin Other P00321327

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