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Ibraheem Imaging Service Llc
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Milwaukee, Wisconsin
NPI 1841966124

Ibraheem Imaging Service Llc is a Portable X-ray and/or Other Portable Diagnostic Imaging Supplier based in Thiensville, WI. Ibraheem Imaging Service Llc practices in Milwaukee, WI. The NPI Number for Ibraheem Imaging Service Llc is 1841966124 and holds a License No. (Wisconsin).

The current practice location address for Ibraheem Imaging Service Llc is 5330 W Villard Ave, Milwaukee, WI and can be reached out via phone at 414-438-6666 and via fax at 414-438-6667.

Location: 5330 W Villard Ave, Milwaukee, WI, 53092-0639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841966124
Provider Name
Ibraheem Imaging Service Llc
Credential
Provider Entity Type
Organization
Address
5330 W Villard Ave, Milwaukee, WI, 53092-0639
Phone Number
414-438-6666
Fax Number
414-438-6667
Provider Enumeration Date
08/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56828 01 WI ARDMS
institution
Provider Business Practice Location Address Details
Address
5330 W Villard Ave
City
Milwaukee
State
Wisconsin
Zip
53218-4345
Phone Number
414-438-6666
Fax Number
414-438-6667
person
Provider Business Mailing Address Details
Address
5330 W Villard Ave
City
Milwaukee
State
Wisconsin
Zip
53218-4345
Phone Number
414-438-6666
Fax Number
414-438-6667
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
335V00000X
License No.
()
Definition
A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed.
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