Organization · NPI-2

Allina Health System

Clinic/Center, Radiology, Mobile Mammography · Fridley, MN

NPI number1235017013
StatusActive
Last updated in NPPESApr 2, 2026

Details

NPI
1235017013
Entity type
Organization (NPI-2)
Legal business name
Allina Health System
Organization subpart
No
Enumeration date
Aug 21, 2025
Certification date
Apr 2, 2026
Last updated
Apr 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0207X Clinic/Center, Radiology, Mobile Mammography––Yes
2085R0202X Radiology, Diagnostic Radiology––

Other names

  • Allina Health Cancer Institute Mobile Services (Doing Business As)

Practice location

1240 Osborne Rd Ne
Fridley, MN 55432-2838

Phone 612-775-2345

Mailing address

Po Box 43
Mail Route 10585
Minneapolis, MN 55440-0043

Phone 612-262-1166

Other practice locations

2800 10th Ave S
Minneapolis, MN 55407-1311

Phone 651-241-7578

Authorized official

Dominica Tallarico
Coo
6122222222

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