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SANFORD CLINIC NPI 1912932997


NPI Information

NPI: 1912932997
Provider Name: SANFORD CLINIC

Doing Business As: SANFORD CLINIC RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1210 W 18TH ST
STE LL03
SIOUX FALLS, SD
ZIP 57104
Phone: (605) 328-1410
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SANFORD CLINIC 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. SANFORD CLINIC NPI is 1912932997. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sanford Clinic Radiology.

The provider's business location address is:

1210 W 18TH ST
STE LL03
SIOUX FALLS, SD
ZIP 57104-654
Phone: (605) 328-1410
Fax: (605) 328-1412

The provider's authorized official is Tony Lee Morrison .
The authorized official title is Vice President, Revenue Cycle and has the following contact phone number (605) 328-8380.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 7/9/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085B0100XRadiologyBody ImagingNo
22085N0700XRadiologyNeuroradiologyNo
32085N0904XRadiologyNuclear RadiologyNo
42085P0229XRadiologyPediatric RadiologyNo
52085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1281988100MEDICAIDMINNESOTA
20537886MEDICAIDIOWA

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

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