Organization
NORTHERN DIAGNOSTIC SERVICES, INC
Active
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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