Organization
PROVENA IMAGING SERVICES INC
Active
Other names
Provena Health Center for Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD MOLARE (PRESIDENT)
(952) 525-6338
Entity
Organization
Contact information
Practice address
1416C SOUTH RANDALL ROAD, GENEVA, IL 60134
(630) 208-9325
(630) 208-9326
Mailing address
5775 WAYZATA BOULEVARD, SUITE 400, ST LOUIS PARK, MN 55416
(952) 542-8553
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us