Organization
RAI KEYSTONE IMAGING SERVICES, LLC
Active
Other names
Center for Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN C. HOLMAN (SPECIAL ASSISTANT SECRETARY)
(952) 525-6338
Entity
Organization
Contact information
Practice address
5775 WAYZATA BLVD STE 400, ST LOUIS PARK, MN 55416-1271
(952) 525-6338
(952) 905-5697
Mailing address
5775 WAYZATA BLVD STE 400, ST LOUIS PARK, MN 55416-1271
(952) 525-6338
(952) 905-5697
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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