NPI 1134122054

Lifescan Minnesota Stand Up MRI LLC

Organisation Magnetic Resonance Imaging (MRI) Clinic/Center St Louis Park, MN

Practice location

Address: 5023 Excelsior Blvd STE 9b, St Louis Park, MN 55416-3013
Phone: (952) 920-8860
Fax: (952) 920-8869

Authorised official

Name: Michelle Douglas
Title: Credentialing Manager
Phone: (502) 403-1401

Registered specialties

Magnetic Resonance Imaging (MRI) Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1200X

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Registry record

NPI: 1134122054
Entity type: Organization
NPI issued: 24 May 2005
Record last updated: 7 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.