# OPEN MRI OF DELAFIELD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528013992
- **Authorized official:** MR. EDWIN SAGE (MEMBER MANAGER)
- **Authorized official phone:** (877) 444-4540

## Contact information

- **Practice address:** 3960 HILLSIDE DR, SUITE 106, DELAFIELD, WI 53018-2148
- **Practice address phone:** (262) 646-6950
- **Practice address fax:** (262) 646-7098
- **Mailing address:** 1616 E ROOSEVELT RD, SUITE 5, WHEATON, IL 60187-6850
- **Mailing address phone:** (877) 444-4540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 01/01/2012