MMC MRI LLC

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

MMC MRI LLC

Practice address

1111 Delafield St
Suite 301
Waukesha, WI 53188-3417

Phone

(262) 541-8020

Fax

(262) 650-4398

NPI assigned

Oct 7, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bonnie Wiesmueller

Title

Director

Phone

(262) 541-8020

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215925839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 301",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-541-8020",
            "fax_number": "262-650-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 DELAFIELD ST",
            "address_2": "SUITE 301",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531883417",
            "telephone_number": "262-541-8020",
            "fax_number": "262-650-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIESMUELLER",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "262-541-8020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21268000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary C Mitchell
• Neil Mitchell, LPC-IT
• Patricia Diane Mitchell, RN
• Shawna Mittelstadt, RDH
• Madeline Mittlestadt
• Mobility Transportation Specialists LLC
• Grant W Moehring, M.D.
• Angela Moeller
• Meghan Moen
• Mohammad Mallick M.D.

• Magnetic Resonance Imaging (MRI) Clinic/Center in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.