institution
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. You can also correspond with Ibraheem Imaging Service Llc through the mailing address at PO BOX 639, THIENSVILLE, WI - 53092-0639 (mailing address contact number: 414-247-9005).

Location: 5330 W Villard Ave, Milwaukee, WI, 53092-0639
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
State
Zip
53218-4345
Phone Number
414-438-6666
Fax Number
414-438-6667
person
Provider Business Mailing Address Details
Address
Po Box 639
City
State
Zip
53092-0639
Phone Number
414-247-9005
Fax Number
414-247-9004
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Speciality
-
Taxonomy
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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