Hales Corners Imaging, LLC
NPI #1518913573 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1518913573
- Entity Type
- Organization
- Organization Name
- Hales Corners Imaging, LLC
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- May 25, 2006
- Last Updated
- Dec 7, 2007
Practice Location
- Address
- 11035 W FOREST HOME AVE
- Address 2
- SUITE 103
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-2541
- Phone
- (414) 425-6602
Authorized Official
- Name
- EDWIN SAGE
- Title
- MEMBER MANAGER
- Phone
- (630) 514-8503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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