Suburban Imaging, Llc

LBN: Suburban Imaging, Llc
Suburban Imaging, Llc is an health care organization with primary practice located at 2355 Hwy 36 W. Ste. 100, Roseville MN 55113. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Suburban Imaging, Llc can be contacted via phone (651) 292-2000, or through Madison, Michael T via phone (651) 292-2000.

Contact Information

Primary practice address
2355 Hwy 36 W. Ste. 100 Roseville MN 55113
Phone: (651) 292-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Madison, Michael T Doctor of Medicine (MD)
Phone: (651) 292-2000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X 261 Minnesota

Profile Details

NPI number 1427008937
LBN Legal business name Suburban Imaging, Llc
DBA Doing business as
Authorized official Madison, Michael T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2006
Last updated Jun 30th, 2020 - about 5 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 1427008937 NPPES
Minnesota MEDICAID 8496889-00
Minnesota Other DA3809

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