MH Imaging-Racine LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MH IMAGING-RACINE LLC

Practice address

6800 Washington Ave Ste B
Racine, WI 53406-3951

Phone

(262) 321-7970

Fax

(262) 321-7995

NPI assigned

Apr 19, 2013

Organization subpart

No

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

Authorized official

Name

Malcom Hatfield

Title

Owner

Phone

(262) 988-7231

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

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

• Malcolm K Hatfield, MD

  • Diagnostic Radiology Physician
  • Greenfield, WI
  • NPI 1629090410
  Medicare reassignment Care Compare group NPD
• Yonker Wang, MD

  • Diagnostic Radiology Physician
  • Madison, WI
  • NPI 1033117494
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1720422850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 WASHINGTON AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063951",
            "telephone_number": "262-321-7970",
            "fax_number": "262-321-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 WASHINGTON AVE STE B",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534063951",
            "telephone_number": "262-321-7970",
            "fax_number": "262-321-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MH IMAGING-RACINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-19",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "HATFIELD",
        "authorized_official_first_name": "MALCOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-988-7231"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "29922-20",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Scott W. Meyer, M.D.
• Asia Mian
• Katherine M Miceli, PHARMD.
• Michael R Westman DDS Ms SC
• Susan F Mickel, M.D., PH.D.
• Midwest Kidney Care, LLC

• Radiology Clinic/Center in Racine, WI
• Providers in Racine, WI by specialty
• Radiology Clinic/Center in Wisconsin

• 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.