HEARTLAND DIAGNOSTIC SERVICES LLC NPI 1033386859

NPI Information

NPI: 1033386859
Provider Name: HEARTLAND DIAGNOSTIC SERVICES LLC
Classification: Radiologic Technologist - 2471C3402X
Entity Type: Organization

Specialization: Radiography

CLIA Number: 35D1026068

Address:
3280 20TH ST S
FARGO, ND
ZIP 58104
Phone: (701) 499-4807
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HEARTLAND DIAGNOSTIC SERVICES LLC is a radiography radiologic technologist in Fargo, ND. HEARTLAND DIAGNOSTIC SERVICES LLC NPI is 1033386859. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3280 20TH ST S
FARGO, ND
ZIP 58104-917
Phone: (701) 499-4807
Fax: (701) 293-7408

The provider's authorized official is Hoadley H Harris .
The authorized official title is Director and has the following contact phone number (701) 499-4807.

The CLIA number assigned to this NPI record is 35D1026068 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 6/17/2008.

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	2471C3402X	Radiologic Technologist	Radiography			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	695294100	MEDICAID	MINNESOTA
2	13493	MEDICAID	NORTH DAKOTA
3	600R3HE	OTHER	MINNESOTA	MN BLUE SHIELD
4	N711808	MEDICARE PIN	NORTH DAKOTA
5	024761	OTHER	NORTH DAKOTA	ND BLUE SHIELD

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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