Diagnostic Imaging Of South Jersey PC
Radiology, Diagnostic Radiology in Eden Prairie, MN. Organization (NPI-2).
NPI number1972532018
StatusActive
Last updated in NPPESOct 1, 2014
Details
- NPI
- 1972532018
- Entity type
- Organization (NPI-2)
- Legal business name
- Diagnostic Imaging Of South Jersey PC
- Organization subpart
- No
- Enumeration date
- Jul 1, 2006
- Last updated
- Oct 1, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | – | – | Yes |
Practice location
11995 Singletree LnSte 500
Eden Prairie, MN 55344-5347
Phone 952-595-1301 · Fax 612-294-4903
Mailing address
11995 Singletree LnSte 500
Eden Prairie, MN 55344-5347
Phone 952-595-1301 · Fax 612-294-4903
Authorized official
Benjamin W Strong
Ceo
9525951301
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