Organization
NORTHERN DIAGNOSTIC SERVICES, INC
Active
Other names
NORTH STAR MEDICAL EQUIPMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI JANE GILBERT (BILLING CLERK)
(218) 741-0001
Entity
Organization
Contact information
Practice address
1001 N 9TH AVE, VIRGINIA, MN 55792-2279
(218) 741-0001
(218) 749-2707
Mailing address
901 9TH ST N, VIRGINIA, MN 55792-2325
(218) 741-0001
(218) 749-7940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3896172
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
759884000
—
MN
01
—
9G449NO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/30/2006
Last updated
04/13/2011
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