LIFESCAN MINNESOTA STAND UP MRI LLC NPI 1134122054

NPI Information

NPI: 1134122054
Provider Name: LIFESCAN MINNESOTA STAND UP MRI LLC
Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
5023 EXCELSIOR BLVD
STE 9B
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 920-8860
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LIFESCAN MINNESOTA STAND UP MRI LLC is a magnetic resonance imaging (mri) clinic center in St Louis Park, MN. LIFESCAN MINNESOTA STAND UP MRI LLC NPI is 1134122054. The provider is registered as an organization entity type.

The provider's business location address is:

5023 EXCELSIOR BLVD
STE 9B
ST LOUIS PARK, MN
ZIP 55416-013
Phone: (952) 920-8860
Fax: (952) 920-8869

The provider's authorized official is Michelle Douglas .
The authorized official title is Credentialing Manager and has the following contact phone number (502) 403-1401.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 7/7/2008.

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	261QM1200X	Clinic/Center	Magnetic 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
1	377120200	MEDICAID	MINNESOTA
2	470000067	MEDICARE PIN	MINNESOTA
3	470000036	MEDICARE PIN	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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