Organization
COMMUNITY MRI SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL J PAULSON (VICE PRESIDENT)
(701) 297-0305
Entity
Organization
Contact information
Practice address
300 2ND AVE NE, JAMESTOWN, ND 58401-3373
(701) 253-5800
(701) 253-5801
Mailing address
3223 32ND AVENUE S, SUITE 201, FARGO, ND 58103-6278
(701) 297-0305
(701) 235-9660
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1026467
PREFERRED ONE
—
05
—
11225
—
ND
01
—
141965701
FEDERAL WORK COMP
—
01
—
1602882
MEDICA
—
01
—
470001119
RAILROAD MEDICARE
—
01
—
71085
ND BCBS
ND
01
—
95D73CO
MN BCBS
MN
Enumeration date
07/22/2006
Last updated
12/19/2011
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