OPEN MRI OF SHEBOYGAN LLC; NPI #1538248760

Contact Information

OPEN MRI OF SHEBOYGAN LLC

1414 NORTH TAYLOR
OPEN MRI OF SHEBOYGAN
SHEBOYGAN, WI 53081

Phone: 920-208-9000
Fax: 920-208-9001
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology

Indicates primary specialty

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NPI Profile & details for OPEN MRI OF SHEBOYGAN LLC

NPI # 1538248760

LBN Legal business name OPEN MRI OF SHEBOYGAN LLC

Authorized official TIMOTHY KAMKE - (AUTHORIZED OFFICIAL)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/06/2006

Last updated 01/30/2008 - About 18 years ago

Identifiers

Medicaid

21258500

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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OPEN MRI OF SHEBOYGAN LLC

Contact Information

Specialty

Diagnostic Radiology

NPI Profile & details for OPEN MRI OF SHEBOYGAN LLC

Reviews for OPEN MRI OF SHEBOYGAN LLC