Organization
INDEPENDENT RADIOLOGY SERVICES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA J CARD (BILLING ADMINISTRATOR)
(877) 274-2459
Entity
Organization
Contact information
Practice address
2829 UNIVERSITY DR S, SITE 104, FARGO, ND 58103-6050
(701) 293-0522
Mailing address
PO BOX 2746, FARGO, ND 58108-2746
(701) 293-0522
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16301
—
ND
01
—
49517GM
BC/BS
MN
05
—
633313300
—
MN
Enumeration date
10/04/2006
Last updated
06/01/2015
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