Organization · Type 2 NPI

Maplewood Imaging Center LLC

Diagnostic Radiology Physician · Maplewood, MN

NPI number 1164604146 Active

Practice location

2945 Hazelwood St Ste 110
Maplewood, MN 55109-1242

Fax (651) 292-2136

Mailing address

2355 Hwy 36 W., Ste. 100
Roseville, MN 55113

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1164604146

Maplewood Imaging Center LLC's National Provider Identifier is 1164604146, issued on Nov 30, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Maplewood, MN. The record was last updated on Feb 2, 2022.