Organization
WEST IMAGING, LLC
Active
Parent organization
WEST IMAGING, LLC
Other names
Minneapolis Radiology-Robbinsdale
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST IMAGING, LLC
Authorized official
KRISTEN CARLSON (CREDENTIALING)
(763) 559-2171
Entity
Organization
Contact information
Practice address
3366 OAKDALE AVE N STE 401, ROBBINSDALE, MN 55422-2986
(763) 559-2171
(763) 398-6601
Mailing address
2955 XENIUM LN N, SUITE 40, PLYMOUTH, MN 55441-2666
(763) 559-2171
(763) 398-8701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37855
MN
2085U0001X
Diagnostic Ultrasound Physician
37855
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1603353
MEDICA
—
01
—
311L01MI
BCBS
—
05
—
32543300
—
MN
05
—
325433000
—
MN
Enumeration date
07/28/2005
Last updated
11/13/2019
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