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Organization

ICARE DIAGNOSTIC IMAGING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MALLIKARJUNARAO KASAM (MANAGER)
(763) 244-8020
Entity
Organization

Contact information

Practice address
2781 FREEWAY BLVD STE 160, BROOKLYN CENTER, MN 55430-1765
(763) 244-8020
(763) 244-8021
Mailing address
2781 FREEWAY BLVD STE 160, BROOKLYN CENTER, MN 55430-1765
(763) 244-8020
(763) 244-8021

Taxonomy

Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary

Other

Enumeration date
09/01/2017
Last updated
07/21/2022
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