Organization
DAKOTA CLINIC LTD AT INNOVIS
Active
Parent organization
DAKOTA CLINC, LTD.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DAKOTA CLINC, LTD.
Authorized official
LARRY G SOLBERG (ADMINISTRATOR-AUTHORIZED OFFICIAL)
(701) 364-3300
Entity
Organization
Contact information
Practice address
3000 32ND AVE SW, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224411
MAMMOGRAPHY #
ND
Enumeration date
12/08/2006
Last updated
12/03/2007
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