# IBRAHEEM IMAGING SERVICE LLC

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

## Provider details

- **NPI number:** 1841966124
- **Authorized official:** DOUEA HOSNEY IBRAHEEM (OWNER)
- **Authorized official phone:** (414) 438-6666

## Contact information

- **Practice address:** 5330 W VILLARD AVE, MILWAUKEE, WI 53218-4345
- **Practice address phone:** (414) 438-6666
- **Practice address fax:** (414) 438-6667
- **Mailing address:** PO BOX 639, THIENSVILLE, WI 53092-0639
- **Mailing address phone:** (414) 247-9005
- **Mailing address fax:** (414) 247-9004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2021
- **Last updated:** 08/18/2021