Organization
NORTHSTAR IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D MAI (VICE PRESIDENT/SECRETARY)
(612) 227-9606
Entity
Organization
Contact information
Practice address
8053 E BLOOMINGTON FWY, #450, BLOOMINGTON, MN 55420-4577
(612) 227-9606
Mailing address
8053 E BLOOMINGTON FWY, #450, BLOOMINGTON, MN 55420-4577
(612) 227-9606
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
4848
MN
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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