Hales Corners Imaging, Llc, NPI 1518913573
Radiology Clinic/Center in Hales Corners, WI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1518913573 |
| NPI Entity Type | Organization |
| Provider Name | Hales Corners Imaging, Llc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 11035 W Forest Home Ave, Suite 103, Hales Corners, WI, US |
| Provider Mailing Address | 11716 W Greenfield Ave, West Allis, WI, US, 532142156 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | Edwin Sage |
| Official Position | MEMBER MANAGER |
| Phone | 630-514-8503 |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Radiology Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 21269000 | WI | MEDICAID | 05 |
| P00321327 | RAIL ROAD PIN | 01 |
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D-PT Rachel Ann Lohrengel Individual |
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LPC Rebecca A Richards Individual |
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DR. D.O. Meredith Caroline Schaffner Individual |
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Fort Healthcare, Inc. Organization |
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Fort Healthcare, Inc. Organization |
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Fort Healthcare Inc Organization |
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MRS. LPC Holly L Doughty Individual |
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Fort Healthcare Inc Organization |
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Fort Healthcare, Inc Organization |
611 Sherman Ave E |
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