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Organization

ALLINA HEALTH SYSTEM

Active
Other names
Allina Health Cancer Institute Mobile Services
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINICA TALLARICO (COO)
(612) 222-2222
Entity
Organization

Contact information

Practice address
1240 OSBORNE RD NE, FRIDLEY, MN 55432-2838
(612) 775-2345
Mailing address
PO BOX 43, MAIL ROUTE 10585, MINNEAPOLIS, MN 55440-0043
(612) 262-1166

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
261QR0207X
Mobile Mammography Clinic/Center
Primary

Other

Enumeration date
08/21/2025
Last updated
04/02/2026
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