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Organization
ICARE DIAGNOSTIC IMAGING LLC
Active
Organization
ICARE DIAGNOSTIC IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLIKARJUNARAO KASAM (MANAGER)
(763) 244-8020
Entity
Organization
Contact information
Practice address
2781 FREEWAY BLVD STE 160, BROOKLYN CENTER, MN 55430-1765
(763) 244-8020
(763) 244-8021
Mailing address
2781 FREEWAY BLVD STE 160, BROOKLYN CENTER, MN 55430-1765
(763) 244-8020
(763) 244-8021
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/01/2017
Last updated
07/21/2022
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