Organization
MH IMAGING-RACINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOM HATFIELD (OWNER)
(262) 988-7231
Entity
Organization
Contact information
Practice address
6800 WASHINGTON AVE STE B, RACINE, WI 53406-3951
(262) 321-7970
(262) 321-7995
Mailing address
6800 WASHINGTON AVE, RACINE, WI 53406-3951
(262) 321-7970
(262) 321-7995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
29922-20
WI
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2013
Last updated
01/12/2023
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