Organization
DIAGNOSTIC IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI ELLEN ANDERSON (OFFICE MANAGER)
(612) 280-9096
Entity
Organization
Contact information
Practice address
5021 VERNON AVE SO, SUITE 300, EDINA, MN 55436
(612) 280-9096
(952) 920-2377
Mailing address
5021 VERNON AVE SO, SUITE 300, EDINA, MN 55436
(612) 280-9096
(952) 920-2377
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
MO
Other
Enumeration date
03/04/2008
Last updated
07/21/2022
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