LIFESCAN MINNESOTA STAND UP MRI NPI 1659382075

NPI Information

NPI: 1659382075
Provider Name: LIFESCAN MINNESOTA STAND UP MRI
Classification: Clinic/Center - 261QM1200X
Specialization: Magnetic Resonance Imaging (MRI)
Entity Type: Organization
Address: 75 VIKING DR W STE 101
LITTLE CANADA, MN
ZIP 55117
Phone: (651) 486-7530

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NPI Details

LIFESCAN MINNESOTA STAND UP MRI is a magnetic resonance imaging (mri) clinic center in Little Canada, MN. LIFESCAN MINNESOTA STAND UP MRI NPI is 1659382075. The provider is registered as an organization entity type.

The provider's business location address is:

75 VIKING DR W STE 101
LITTLE CANADA, MN
ZIP 55117-778
Phone: (651) 486-7530
Fax: (651) 486-7540

The provider's authorized official is Michelle Douglas .
The authorized official title is Contract Manager and has the following contact phone number (502) 477-1815.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 6/12/2008.

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	Other Provider Identifier Issuer
1	470000067	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: 3/30/2025

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