Provider Demographics
NPI:1649583188
Name:ALPHA MEDICAL IMAGING INC
Entity Type:Organization
Organization Name:ALPHA MEDICAL IMAGING INC
Other - Org Name:KENOSHA OPEN MRI & IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MAJORS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-307-4297
Mailing Address - Street 1:8500 75TH ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53142-8213
Mailing Address - Country:US
Mailing Address - Phone:262-697-9800
Mailing Address - Fax:262-697-8450
Practice Address - Street 1:8500 75TH ST
Practice Address - Street 2:SUITE 106
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-8213
Practice Address - Country:US
Practice Address - Phone:262-697-9800
Practice Address - Fax:262-697-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)