MINNESOTA MEDICAL IMAGING, LLC (NPI# 1801130158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801130158 |
| 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 |
| Mailing Telephone | 6123547905 |
| Enumeration Date | 2012-11-26 |
| 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 | 6126941810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558602607 | Minnesota Medical Imaging, LLC | Clinic/Center | 715 Florida Ave S, Suite 205, Golden Valley, MN 55426-1719 | 2013-03-13 |
| 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 |
| 1558602607 | Minnesota Medical Imaging, LLC | Clinic/Center | 715 Florida Ave S, Suite 205, Golden Valley, MN 55426-1719 | 2013-03-13 |
| 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 | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881038263 | Health Diagnostics Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22841 Zion Pkwy Nw, Bethel, MN 55005-9315 | 2013-04-29 |
| 1750533469 | Premier Diagnostic Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12800 Highway 55, Plymouth, MN 55441-3840 | 2008-10-14 |
| 1073560157 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-05-27 |
| 1215499553 | North Star Mobile X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6300 Shingle Creek Pkwy Ste 135, Minneapolis, MN 55430-2124 | 2019-04-04 |
| 1366747040 | Professional Portable Radiologic Service, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 4801 W 81st St, Bloomington, MN 55437-1111 | 2011-01-11 |
| 1568604585 | Portable Diagnostic Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 6545 France Ave S, Suite C 62a, Edina, MN 55435-2131 | 2009-04-06 |
| 1013092196 | Professional Portable Radiologic Services, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 755 Cliff Rd E, Burnsville, MN 55337-1545 | 2006-10-26 |
| City | GOLDEN VALLEY |
| Zip Code | 55426 |
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| 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.