Provider Demographics
NPI:1477533594
Name:MH IMAGING-MILWAUKEE LLC
Entity Type:Organization
Organization Name:MH IMAGING-MILWAUKEE LLC
Other - Org Name:MILWAUKEE MEDICAL IMAGING AND OPEN MRI
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MALCOLM
Authorized Official - Middle Name:K
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:414-281-1490
Mailing Address - Street 1:7818 W LAYTON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53220-3709
Mailing Address - Country:US
Mailing Address - Phone:414-281-1490
Mailing Address - Fax:414-281-1491
Practice Address - Street 1:7818 W. LAYTON AVENUE
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:WI
Practice Address - Zip Code:53220-4821
Practice Address - Country:US
Practice Address - Phone:414-281-1490
Practice Address - Fax:414-281-1491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-17
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI21267800Medicaid
WI000092180Medicare PIN