Lifescan Minnesota Stand Up Mri

NPI #1659382075 in Little Canada, Minnesota

Provider Information

NPI Number
1659382075
Entity Type
Organization
Organization Name
Lifescan Minnesota Stand Up Mri
Subpart
Yes (part of a larger organization)
Parent Organization
LIFESCAN MINNESOTA STAND UP MRI
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
Aug 10, 2006
Last Updated
Jun 12, 2008

Practice Location

Address
75 VIKING DR W STE 101
ZIP Code
55117-1778
Phone
(651) 486-7530

Authorized Official

Name
MICHELLE DOUGLAS
Title
CONTRACT MANAGER
Phone
(502) 477-1815

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)

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