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Organization
ALLINA HEALTH SYSTEM
Active
Organization
ALLINA HEALTH SYSTEM
Active
Other names
Allina Health Cancer Institute Mobile Services
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization
Contact information
Practice address
1240 OSBORNE RD NE, FRIDLEY, MN 55432-2838
(612) 775-2345
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0207X
Mobile Mammography Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
04/02/2026
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