Organization · Type 2 NPI

Minnesota Diagnostic Imaging Partners, LLC

Diagnostic Radiology Physician · Maple Grove, MN

NPI number 1922009471 Active

Practice location

9855 Hospital Drive, #105
Maple Grove, MN 55369-4776

Fax (763) 398-4401

Specialties and licenses

Taxonomy	Code	License
Diagnostic Radiology Physician Primary	2085R0202X	None listed

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

NPI record

NPI: 1922009471
Entity type: Organization (Type 2)
Issued: Aug 9, 2005
Last updated: Nov 15, 2019
Status: Active
Subpart: Yes of Minnesota Diagnostic Imaging Partners, LLC

Other names

<unavail>
Maple Grove Imaging Center · doing business as
Maple Grove Imaging Center · doing business as

Authorized official

Kristen Carlson
Credentialing
(763) 398-2207

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1922009471

Minnesota Diagnostic Imaging Partners, LLC's National Provider Identifier is 1922009471, issued on Aug 9, 2005. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Maple Grove, MN. The record was last updated on Nov 15, 2019.