Organization
HEARTLAND DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOADLEY H HARRIS M.D. (DIRECTOR)
(701) 499-4807
Entity
Organization
Contact information
Practice address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 499-4807
(701) 293-7408
Mailing address
3280 20TH ST S, FARGO, ND 58104-5917
(701) 499-4807
(701) 293-7408
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024761
ND BLUE SHIELD
ND
05
—
13493
—
ND
01
—
600R3HE
MN BLUE SHIELD
MN
05
—
695294100
—
MN
Enumeration date
05/12/2008
Last updated
06/17/2008
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