Organization Active NPI

MH Imaging-Milwaukee LLC

  • Radiology Clinic/Center
  • Greenfield, WI
National Provider Identifier
1477533594
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MH IMAGING-MILWAUKEE LLC
Practice address
7818 W. Layton Avenue
Greenfield, WI 53220-4821
Phone
(414) 281-1490
Fax
(414) 281-1491
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Mr. Malcolm K Hatfield Jr., MD
Title
Ceo
Phone
(414) 281-1490

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

7818 W. Layton Avenue
Greenfield, WI 53220-4821

Mailing address

7818 W Layton Ave
Greenfield, WI 53220-3709
Phone (414) 281-1490

Other identifiers 1

IdentifierTypeStateIssuer
21267800MedicaidWI

Other names 1

  • MILWAUKEE MEDICAL IMAGING AND OPEN MRI Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000331 WI Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 0446147029 Practice locations: Greenfield, WI

National Provider Directory

National Provider Directory

Locations

7600 75th St
Ste 103
Kenosha, WI 53142

7818 W Layton Ave
Milwaukee, WI 53220
Phone (262) 327-6888

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1477533594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7818 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203709",
            "telephone_number": "414-281-1490",
            "fax_number": "414-281-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7818 W. LAYTON AVENUE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204821",
            "telephone_number": "414-281-1490",
            "fax_number": "414-281-1491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH IMAGING-MILWAUKEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-281-1490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21267800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILWAUKEE MEDICAL IMAGING AND OPEN MRI",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "MILWAUKEE MEDICAL IMAGING AND OPEN MRI",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.