NPI 1043137862

Justin Lill, BSRTRTRARRT

Practitioner Radiologic Technologist Grand Forks, ND

Practice location

Address: 1407 24th Ave S STE 100, Grand Forks, ND 58201-6761
Phone: (701) 335-4380
Mailing address: 4896 Chestnut St, Grand Forks, ND 58201-8014

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 1057 (ND)

Other Radiologic Technologist providers in North Dakota →

Registry record

NPI: 1043137862
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2026
Record last updated: 2 Jul 2026

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.