Organization
MEDICAL IMAGING NORTH PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL COURNEYA M.D. (PRESIDENT)
(218) 312-3005
Entity
Organization
Contact information
Practice address
2900 E BELTLINE, HIBBING, MN 55746-4504
(218) 312-3002
Mailing address
1200 E 25TH ST, HIBBING, MN 55746-3897
(218) 312-3002
(218) 312-3003
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103198
UCARE
MN
01
—
69531ME
BLUE CROSS BLUE SHIELD
MN
05
—
782012700
—
MN
01
—
CD6182
RAILROAD MEDICARE
MN
Enumeration date
03/27/2007
Last updated
11/12/2015
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