Organization · Type 2 NPI

Proactive Imaging LLC

Diagnostic Radiology Physician · Edina, MN

NPI number 1619970910 Active

Practice location

4000 W 76th St, Ste 100
Edina, MN 55435-5104

Call (952) 853-7226 Map

Fax (952) 831-7555

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X540 (MN)

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 1619970910

Proactive Imaging LLC's National Provider Identifier is 1619970910, issued on May 31, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Edina, MN. The record was last updated on Oct 2, 2008.