# INSTITUTE OF DIAGNOSTIC IMAGING, LLC

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

## Provider details

- **NPI number:** 1578674586
- **Authorized official:** MICHAEL J HOFER SR. (PRESIDENT)
- **Authorized official phone:** (701) 297-0305

## Contact information

- **Practice address:** 2829 SOUTH UNIVERSITY DRIVE, SUITE 102, FARGO, ND 58103-6029
- **Practice address phone:** (701) 234-0112
- **Practice address fax:** (701) 235-9660
- **Mailing address:** 3223 32ND AVENUE S, SUITE 201, FARGO, ND 58103-6278
- **Mailing address phone:** (701) 297-0305
- **Mailing address fax:** (701) 235-9660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/07/2012
