HEALTHEAST MEDICAL IMAGING LLC NPI 1316965064

NPI Information

NPI: 1316965064
Provider Name: HEALTHEAST MEDICAL IMAGING LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3640 TALMAGE CIRCLE
STE 100
VADNAIS HEIGHTS, MN
ZIP 55110
Phone: (651) 426-7226
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HEALTHEAST MEDICAL IMAGING LLC is a diagnostic radiology radiology in Vadnais Heights, MN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. HEALTHEAST MEDICAL IMAGING LLC NPI is 1316965064. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3640 TALMAGE CIRCLE
STE 100
VADNAIS HEIGHTS, MN
ZIP 55110
Phone: (651) 426-7226
Fax: (651) 426-7235

The provider's authorized official is Doug Davenport .
The authorized official title is Cfo and has the following contact phone number (651) 232-2250.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 5/20/2015.

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			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	161668400	MEDICAID	MINNESOTA
2	470000050	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: 4/28/2024

NPI Synchronization or Removal

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