Maple Grove Imaging Center

LBN: Minnesota Diagnostic Imaging Partners, Llc
Maple Grove Imaging Center is an health care organization with primary practice located at 9855 Hospital Drive #105, Maple Grove MN 55369-4776. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Minnesota Diagnostic Imaging Partners, Llc can be contacted via phone (763) 559-2171, or through Carlson, Kristen via phone (763) 398-2207.

Contact Information

Primary practice address
9855 Hospital Drive #105 Maple Grove MN 55369-4776
Phone: (763) 559-2171
Fax: (763) 398-4401
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Kristen
Phone: (763) 398-2207

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1922009471
LBN Legal business name Minnesota Diagnostic Imaging Partners, Llc
DBA Doing business as Maple Grove Imaging Center
Authorized official Carlson, Kristen
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 9th, 2005
Last updated Nov 15th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922009471 NPPES
Minnesota MEDICAID 420012800
Minnesota Other 342S2MI
Minnesota Other 1601988

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