MEDICAL XRAY CENTER PC NPI 1326187477

NPI Information

NPI: 1326187477
Provider Name: MEDICAL XRAY CENTER PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1417 S MINNESOTA AVE
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 336-0517
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MEDICAL XRAY CENTER PC is a diagnostic radiology radiology in Sioux Falls, SD. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MEDICAL XRAY CENTER PC NPI is 1326187477. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1417 S MINNESOTA AVE
SIOUX FALLS, SD
ZIP 57105-715
Phone: (605) 336-0517
Fax: (605) 336-2874

The provider's authorized official is Gerald Lloyd Larson .
The authorized official title is Business Administrator and has the following contact phone number (605) 731-7522.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 10/25/2007.

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	2085R0001X	Radiology	Radiation Oncology			No
2	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
1	CR0379	MEDICARE PIN
2	CI6167	MEDICARE PIN
3	C06137	MEDICARE PIN	MINNESOTA
4	7202240	MEDICAID	SOUTH DAKOTA
5	S00004	MEDICARE PIN	SOUTH DAKOTA

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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