INSTITUTE OF DIAGNOSTIC IMAGING LLC NPI 1578674586

NPI Information

NPI: 1578674586
Provider Name: INSTITUTE OF DIAGNOSTIC IMAGING, LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
2829 SOUTH UNIVERSITY DRIVE
SUITE 102
FARGO, ND
ZIP 58103
Phone: (701) 234-0112
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INSTITUTE OF DIAGNOSTIC IMAGING, LLC is a radiology clinic center in Fargo, ND. INSTITUTE OF DIAGNOSTIC IMAGING, LLC NPI is 1578674586. The provider is registered as an organization entity type.

The provider's business location address is:

2829 SOUTH UNIVERSITY DRIVE
SUITE 102
FARGO, ND
ZIP 58103-029
Phone: (701) 234-0112
Fax: (701) 235-9660

The provider's authorized official is Michael J Hofer .
The authorized official title is President and has the following contact phone number (701) 297-0305.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/7/2012.

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)			No
2	261QR0200X	Clinic/Center	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	25965	OTHER	NORTH DAKOTA	BCBS
2	123669600	OTHER		FEDERAL WORK COMP
3	10342	MEDICAID	NORTH DAKOTA
4	N70944	MEDICARE PIN	NORTH DAKOTA
5	1602915	OTHER		MEDICA
6	627327100	MEDICAID	MINNESOTA
7	470000565	OTHER		RAILROAD MEDICARE
8	7290170	MEDICAID	SOUTH DAKOTA
9	300087709	OTHER		UNITED HEALTHCARE
10	34Q05IN	OTHER	MINNESOTA	BCBS
11	933411015837	OTHER		PREFERRED ONE
12	2109663	OTHER		FIRST HEALTH
13	70944	MEDICARE ID-TYPE UNSPECIFIED

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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