Provider Type Icon

COMMUNITY MRI SERVICES LLC NPI 1023039278


NPI Information

NPI: 1023039278
Provider Name: COMMUNITY MRI SERVICES, LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

CLIA Number: 35D2128620

Address:
1252 WASHINGTON AVE
DETROIT LAKES, MN
ZIP 56501
Phone: (218) 847-6316
Get Directions

COMMUNITY MRI SERVICES, LLC is a magnetic resonance imaging (mri) clinic center in Detroit Lakes, MN. COMMUNITY MRI SERVICES, LLC NPI is 1023039278. The provider is registered as an organization entity type.

The provider's business location address is:

1252 WASHINGTON AVE
DETROIT LAKES, MN
ZIP 56501-928
Phone: (218) 847-6316
Fax: (218) 847-6303

The provider's authorized official is Michael J Hofer .
The authorized official title is President and has the following contact phone number (701) 297-0305.

The CLIA number assigned to this NPI record is 35D2128620 - other - op treatment program with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 12/20/2011.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)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
1269M3COOTHERMINNESOTAMINNESOTA BCBS
2470000045MEDICARE PINMINNESOTA
31026467OTHERMINNESOTAPREFERRED ONE
4650069200MEDICAIDMINNESOTA
51602881OTHERMINNESOTAMEDICA
6141965700OTHERMINNESOTAUS DEPT OF LABOR

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.