West Bend Open Mri, Llc

LBN: West Bend Open Mri, Llc
West Bend Open Mri, Llc is an health care organization with primary practice located at 1016 Gateway Ct , West Bend WI 53095-8541. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. West Bend Open Mri, Llc can be contacted via phone (262) 334-7674, or through Metcalf, Steven A. via phone (262) 334-7674.

Contact Information

Primary practice address
1016 Gateway Ct West Bend WI 53095-8541
Fax: (262) 334-7692
Website:
Authorized official contact:
Name: Metcalf, Steven A. MBA

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X Wisconsin

Profile Details

NPI number 1457356321
LBN Legal business name West Bend Open Mri, Llc
DBA Doing business as
Authorized official Metcalf, Steven A. MBA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2005
Last updated Aug 22nd, 2020 - about 5 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 1457356321 NPPES
Wisconsin MEDICAID 21265300

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