Active NPI
MH Imaging-Milwaukee LLC
- Radiology Clinic/Center
- Greenfield, WI
National Provider Identifier
1477533594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21267800 | Medicaid | WI |
Other names 1
- MILWAUKEE MEDICAL IMAGING AND OPEN MRI
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040228000331 | WI | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0446147029 | Practice locations: Greenfield, WI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Diagnostic Radiology Physician
- Madison, WI
- NPI 1033117494
-
- Specialist
- Milwaukee, WI
- NPI 1477535011
-
- Specialist
- Milwaukee, WI
- NPI 1972585529
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.