MINNESOTA MEDICAL IMAGING, LLC (NPI# 1558602607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558602607 |
| Entity Type | Organization |
| Organization Name | MINNESOTA MEDICAL IMAGING, LLC |
| Practice Address |
715 Florida Ave S Suite 205 Golden Valley MN 55426-1719 |
| Practice Telephone | 6123547905 |
| Practice Fax Number | 6123154165 |
| Mailing Telephone | 6123547905 |
| Mailing Fax Number | 6123154165 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2014-10-08 |
| NPI Deactivation Date | 09/26/2014 |
| NPI Reactivation Date | 2014-10-08 |
| Authorized Official Name | MISS ASHLEY NEWMAN (MANAGER - HSI) |
| Authorized Official Telephone | 6129641810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
MN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | NPI | 1801130158 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801130158 | Minnesota Medical Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 715 Florida Ave S, Suite 205, Golden Valley, MN 55426-1719 | 2012-11-26 |
| Street Address |
715 FLORIDA AVE S SUITE 205 |
| City | GOLDEN VALLEY |
| State | MN |
| Zip Code | 55426-1719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497157358 | Minnesota Medical Services Pllc | Community Health Worker | 715 Florida Ave S, Suite 205, Golden Valley, MN 55426-1719 | 2014-09-23 |
| 1801130158 | Minnesota Medical Imaging, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 715 Florida Ave S, Suite 205, Golden Valley, MN 55426-1719 | 2012-11-26 |
| 1366583437 | Steven T Cass | Chiropractor | 715 Florida Ave S, #401, Golden Valley, MN 55426-1719 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657545 | Big Brain Concussion Recovery & Chiropractic Pa | Chiropractor | 3313 Republic Ave., St. Louis Park, MN 55426 | 2019-06-06 |
| 1912485095 | Daniel Raies | Optometrist | 8900 Minnesota 7, St Louis Park, MN 55426 | 2018-08-01 |
| 1649756040 | Wayside House, Inc. | Clinic/Center | 1349 Jersey Ave S, St. Louis Park, MN 55426 | 2018-07-18 |
| 1104302884 | Superior Caregivers, LLC | In Home Supportive Care | 1319 Lancaster Ave., St. Louis Park, MN 55426 | 2018-07-16 |
| 1396234266 | Caitlin Kwiatkowski | Behavior Technician | 7010 Mn-7, St.louis Park, MN 55426 | 2018-05-07 |
| 1497244313 | Kelly Ann Clancey | Behavior Technician | 7010 Highway 2, Saint Louis Park, MN 55426 | 2018-05-07 |
| 1770072696 | Ashleigh Hakala | Behavior Technician | 7010 Highway 7 St. Louis Park Mn 55426, St. Louis Park, MN 55426 | 2018-05-07 |
| 1689181521 | Glenda Miles | Registered Nurse | 7316 Cedar Lake Road, Apt 8, St Louis Park, MN 55426 | 2017-12-31 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1447775549 | Belinda Sue Bliss | Marriage & Family Therapist | 3301 Decatur Lane, Saint Louis Park, MN 55426 | 2017-08-09 |
| Find all providers in zip 55426 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922560267 | North Star Mobile X-ray LLC | Clinic/Center | 6300 Shingle Creek Pkwy Ste 135, Minneapolis, MN 55430-2124 | 2019-04-04 |
| 1891208567 | Kinitos Medical Services Incorporated | Clinic/Center | 5885 149th St W, Apple Valley, MN 55124-5703 | 2017-11-15 |
| 1952717852 | Metro Diagnostic Imaging, LLC | Clinic/Center | 1997 Sloan Pl Ste 23, Saint Paul, MN 55117-2051 | 2014-07-11 |
| 1134427172 | William Earl Webbles | Clinic/Center | 5220 Palmer Ln Nw, Rochester, MN 55901-3871 | 2011-02-28 |
| 1669642864 | Diagnostic Imaging | Clinic/Center | 5021 Vernon Ave So, Suite 300, Edina, MN 55436 | 2008-03-04 |
| 1821266529 | Proreads | Clinic/Center | 5021 Vernon Ave S, Suite 300, Edina, MN 55436 | 2008-02-15 |
| 1891045969 | Sanford Clinic North | Clinic/Center | 929 Central Ave Nw, East Grand Forks, MN 56721-1917 | 2012-09-14 |
| 1962791541 | Med City X-ray | Clinic/Center | 5220 Palmer Ln Nw, Rochester, MN 55901-3871 | 2011-04-04 |
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
Please comment or provide details below to improve the information on MINNESOTA MEDICAL IMAGING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.