# MINNETONKA IMAGING MRI, INC.

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

## Provider details

- **NPI number:** 1073819918
- **Authorized official:** DR. CARLOS RIVERA DC (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (612) 803-0811

## Contact information

- **Practice address:** 6053 HUDSON RD STE 357, WOODBURY, MN 55125-1031
- **Practice address phone:** (612) 803-0811
- **Mailing address:** 6053 HUDSON RD STE 357, WOODBURY, MN 55125-1031

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2011
- **Last updated:** 02/09/2011