Provider Demographics
NPI:1669428272
Name:AMERICAN MOBILE IMAGING, LLC
Entity type:Organization
Organization Name:AMERICAN MOBILE IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-556-9987
Mailing Address - Street 1:5310 W CAPITOL DR
Mailing Address - Street 2:SUITE#214
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53216-2239
Mailing Address - Country:US
Mailing Address - Phone:414-449-2292
Mailing Address - Fax:
Practice Address - Street 1:5310 W CAPITOL DR
Practice Address - Street 2:SUITE#214
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53216-2239
Practice Address - Country:US
Practice Address - Phone:414-449-2292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIXM311283335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier