Organization
ICARE DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON STADTHER D.C. (PRESIDENT/CEO)
(612) 747-0220
Entity
Organization
Contact information
Practice address
2781 FREEWAY BLVD, SUITE 160, BROOKLYN CENTER, MN 55430-1753
(763) 560-9139
(763) 560-9149
Mailing address
2781 FREEWAY BLVD, SUITE 160, BROOKLYN CENTER, MN 55430-1753
(763) 244-8020
(763) 244-8021
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
DC3945
MN
Other
Enumeration date
07/10/2013
Last updated
03/17/2020
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