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Organization
MINNESOTA MEDICAL IMAGING, LLC
Active
Organization
MINNESOTA MEDICAL IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASHLEY NEWMAN (MANAGER - HSI)
(612) 964-1810
Entity
Organization
Contact information
Practice address
715 FLORIDA AVE S, SUITE 205, GOLDEN VALLEY, MN 55426-1719
(612) 354-7905
(612) 315-4165
Mailing address
715 FLORIDA AVE S, SUITE 205, GOLDEN VALLEY, MN 55426-1719
(612) 354-7905
(612) 315-4165
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801130158
NPI
MN
Enumeration date
03/13/2013
Last updated
10/08/2014
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