P J NOSS CORPORATION NPI 1114387529

NPI Information

NPI: 1114387529
Provider Name: P J NOSS CORPORATION

Former Legal Business Name: PJ NOSS LLC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1924 DUNEDIN AVE
DULUTH, MN
ZIP 55803
Phone: (218) 312-3002
Get Directions

P J NOSS CORPORATION is a diagnostic radiology radiology in Duluth, MN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. P J NOSS CORPORATION NPI is 1114387529. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pj Noss Llc.

The provider's business location address is:

1924 DUNEDIN AVE
DULUTH, MN
ZIP 55803-400
Phone: (218) 312-3002
Fax: (218) 236-8933

The provider's authorized official is Phyllis J Noss .
The authorized official title is Owner and has the following contact phone number (218) 310-8050.

The enumeration date for this NPI number is 2/26/2016 and was last updated on 3/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology		MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1114387529	OTHER		BLUE CROSS BLUE SHIELD
2	1114387529	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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