# LIFESCAN MINNESOTA STAND UP MRI

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIFESCAN MINNESOTA STAND UP MRI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1659382075
- **Legal business name:** LIFESCAN MINNESOTA STAND UP MRI
- **Authorized official:** MICHELLE DOUGLAS (CONTRACT MANAGER)
- **Authorized official phone:** (502) 477-1815

## Contact information

- **Practice address:** 75 VIKING DR W STE 101, LITTLE CANADA, MN 55117-1778
- **Practice address phone:** (651) 486-7530
- **Practice address fax:** (651) 486-7540
- **Mailing address:** 75 VIKING DR W STE 101, LITTLE CANADA, MN 55117-1778
- **Mailing address phone:** (651) 486-7530
- **Mailing address fax:** (651) 486-7540

## Taxonomy

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

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 06/12/2008