RADIOLOGY ASSOCIATES PROF LLC NPI 1093772527

NPI Information

  • NPI: 1093772527
  • Provider Name: RADIOLOGY ASSOCIATES PROF, LLC
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Doing Business As: DAKOTA RADIOLOGY
  • CLIA Number: 43D2102284
  • Address: 2929 5TH ST.
    STE 100
    RAPID CITY, SD
    ZIP 57701
  • Phone: (605) 342-2852

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NPI Details

RADIOLOGY ASSOCIATES PROF, LLC is a diagnostic radiology radiology in Rapid City, SD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY ASSOCIATES PROF, LLC NPI is 1093772527. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dakota Radiology.

The provider's business location address is:

2929 5TH ST.
STE 100
RAPID CITY, SD
ZIP 57701-355
Phone: (605) 342-2852
Fax: (605) 342-3930

The provider's authorized official is Brian Baxter .
The authorized official title is Authorized Official and has the following contact phone number (605) 380-8060.

The CLIA number assigned to this NPI record is 43D2102284 - other - pet scan provider with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2006 and was last updated on 8/23/2023.

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
12085R0202XRadiologyDiagnostic RadiologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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