ICARE DIAGNOSTIC IMAGING LLC (NPI# 1932627684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932627684 |
| Entity Type | Organization |
| Organization Name | ICARE DIAGNOSTIC IMAGING LLC |
| Practice Address |
2781 Freeway Blvd Ste 160 Brooklyn Center MN 55430-1765 |
| Practice Telephone | 7632448020 |
| Practice Fax Number | 7632448021 |
| Mailing Telephone | 7632448020 |
| Mailing Fax Number | 7632448021 |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | MALLIKARJUNARAO KASAM (MANAGER) |
| Authorized Official Telephone | 7632448020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2781 Freeway Blvd, Brooklyn Center, MN 554301753 | (763) 244-8020 | 7632448021 |
| Street Address |
2781 FREEWAY BLVD STE 160 |
| City | BROOKLYN CENTER |
| State | MN |
| Zip Code | 55430-1765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205205069 | Midwest Imaging LLP | Clinic/Center | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 | 2015-09-22 |
| 1609474998 | Integrated Med Group Pllc | Nurse Practitioner | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 | 2020-10-09 |
| 1801427380 | Joseph John Grahek | Massage Therapist | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 | 2020-02-03 |
| 1447890637 | Community Care Chiropractic @ Rehab Center, LLC | Chiropractor | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 | 2020-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396362182 | Graceland Homes | Home Health | 6843 Colfax Ave N, Brooklyn Center, MN 55430 | 2020-06-29 |
| 1912549742 | His Services Home Care, LLC | Home Health | 2108 70th Avenue North, Brooklyn Park, MN 55430 | 2019-10-14 |
| 1336612969 | Jeremiah Sk Pojah Sr. | Registered Nurse | 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 | 2019-01-07 |
| 1891219697 | Tamika Yvette Spicer | Home Health Aide | 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 | 2017-08-02 |
| 1265973358 | James Contois | Community Based Residential Treatment Facility, Mental Illness | 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 | 2017-03-09 |
| 1336693746 | Sara Jean Cooper | Dentist | 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 | 2016-08-15 |
| 1750732202 | Miriam Home Health Corporation | Residential Treatment Facility, Physical Disabilities | 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 | 2016-06-27 |
| 1649628561 | Tranquility Health LLC | Community/Behavioral Health | 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 | 2016-06-01 |
| 1104233790 | Lillie's Helping Hands | In Home Supportive Care | 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 | 2014-07-16 |
| 1063760817 | Wal-mart Stores Inc | Technician/Technologist | 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 | 2012-08-28 |
| Find all providers in zip 55430 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205205069 | Midwest Imaging LLP | Clinic/Center | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 | 2015-09-22 |
| 1336580018 | Icare Diagnostic Imaging | Clinic/Center | 2781 Freeway Blvd, Suite 160, Brooklyn Center, MN 55430-1753 | 2013-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417494196 | Smart Choice Mri, LLC | Clinic/Center | 13000 Technology Dr Ste 100, Eden Prairie, MN 55344-3606 | 2017-01-19 |
| 1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
| 1346652609 | Northwest Mri Center | Clinic/Center | 4610 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 | 2014-05-21 |
| 1861811333 | Woodbury Mri, LLC | Clinic/Center | 6053 Hudson Rd Ste 140, Woodbury, MN 55125-1022 | 2014-04-14 |
| 1285050211 | Mai Spine Center P.a. | Clinic/Center | 485 Arundel St # 102, Saint Paul, MN 55103-1931 | 2014-03-14 |
| 1073953451 | Twin Cities Diagnostic Center, LLC. | Clinic/Center | 7570 Wayzata Boulevard, Golden Valley, MN 55426 | 2013-06-28 |
| 1073819918 | Minnetonka Imaging Mri, Inc. | Clinic/Center | 6053 Hudson Rd Ste 357, Woodbury, MN 55125-1031 | 2011-02-09 |
| 1922272673 | Physicians First Choice Diagnostics Center | Clinic/Center | 735 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2008-04-14 |
| 1528269669 | Diagnostic Solutions | Clinic/Center | 33289 Forest Blvd, Stacy, MN 55079-4530 | 2007-05-29 |
| 1669681532 | Spine Imaging Mri LLC | Clinic/Center | 393 North Dunlap Street, Suite Ll40, St Paul, MN 55104 | 2007-05-21 |
| Find all providers with the same taxonomy | ||||
| City | BROOKLYN CENTER |
| Zip Code | 55430 |
Please comment or provide details below to improve the information on ICARE DIAGNOSTIC 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.