Organization
MIDWEST RADIOLOGY OUTPATIENT IMAGING, LLC
Active
Other names
Midwest Radiology Outpatient Imaging, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SEE YANG (CREDENTIALING MANAGER)
(651) 292-2013
Entity
Organization
Contact information
Practice address
250 THOMPSON ST, SAINT PAUL, MN 55102-2370
(651) 292-2000
Mailing address
2355 HWY 36 W., STE. 100, ROSEVILLE, MN 55113-3905
(651) 292-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485512400
—
MN
Enumeration date
02/01/2006
Last updated
04/05/2021
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