# LAKEWOOD MRI CENTER, LLC

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

## Provider details

- **NPI number:** 1417495698
- **Authorized official:** BRIAN JAMES ENGEL (MANAGING MEMBER)
- **Authorized official phone:** (612) 554-5698

## Contact information

- **Practice address:** 4610 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4062
- **Practice address phone:** (763) 488-1666
- **Practice address fax:** (763) 488-1669
- **Mailing address:** 209 SNELLING AVE N, SAINT PAUL, MN 55104-6326
- **Mailing address phone:** (612) 554-5698
- **Mailing address fax:** (651) 646-0921

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017