MEDICARE: AMERICAN MOBILE IMAGING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	XM311283	WI

General Provider Information

NPI Number	:	1669428272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MOBILE IMAGING, LLC

Provider Business Mailing Address
First Line	:	5310 W CAPITOL DR
Second Line	:	SUITE#214
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2239
Country	:	US
Telephone Number	:	414-449-2292
Fax Number	:

Provider Business Practice Location Address
First Line	:	5310 W CAPITOL DR
Second Line	:	SUITE#214
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2239
Country	:	US
Telephone Number	:	414-449-2292
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. MOHAMMED A ALEEM
Credential	:
Telephone Number	:	773-556-9987

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	07/21/2022

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