Organization
HEARTLAND DIAGNOSTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET S GILBERTSON (PRACTICE MANAGER)
(701) 499-4807
Entity
Organization
Contact information
Practice address
3290 20TH ST S, FARGO, ND 58104-5917
(701) 499-4800
(701) 499-4887
Mailing address
3290 20TH ST S, FARGO, ND 58104-5917
(701) 499-4800
(701) 499-4887
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024761
ND BLUE SHIELD
ND
05
—
13493
—
ND
05
—
155137000
—
MN
01
—
600R3HE
MN BLUE SHIELD
MN
01
—
600R4HE
MN BLUE SHIELD
MN
05
—
695294100
—
MN
Enumeration date
06/07/2006
Last updated
04/02/2013
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