Minnesota Radiology

LBN: Proactive Imaging Llc
Minnesota Radiology is an health care organization with primary practice located at 4000 W 76Th St Ste 100, Edina MN 55435-5104. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Proactive Imaging Llc can be contacted via phone (952) 853-7226, or through Soto, Angel L via phone (954) 559-2421.

Contact Information

Primary practice address
4000 W 76Th St Ste 100 Edina MN 55435-5104
Phone: (952) 853-7226
Fax: (952) 831-7555
Website:
Map and Directions
Authorized official contact:
Name: Soto, Angel L PRESIDENT
Phone: (954) 559-2421

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 540 Minnesota

Profile Details

NPI number 1619970910
LBN Legal business name Proactive Imaging Llc
DBA Doing business as Minnesota Radiology
Authorized official Soto, Angel L PRESIDENT
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2005
Last updated Oct 2nd, 2008 - about 17 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 1619970910 NPPES
Minnesota Other 22030077 OFFICE OF WORK COMP.
Minnesota Other P00053758 OFFICE OF WORK COMP.

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