Hales Corners Mri, LLC
NPI #1336195304 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1336195304
- Entity Type
- Organization
- Organization Name
- Hales Corners Mri, LLC
- Primary Specialty
- Clinic/Center - Magnetic Resonance Imaging (MRI)
- Enumeration Date
- May 25, 2006
- Last Updated
- Jan 1, 2012
Practice Location
- Address
- 11035 W FOREST HOME AVE
- Address 2
- SUITE 118
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-2541
- Phone
- (414) 525-9000
Authorized Official
- Name
- MR. EDWIN C. SAGE
- Title
- ADMINISTRATIVE MANAGER
- Phone
- (877) 444-4540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
| Clinic/Center - Magnetic Resonance Imaging (MRI) — Magnetic Resonance Imaging (MRI) |
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