PREMIER DIAGONSTIC IMAGING, INC (NPI# 1548413131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548413131 |
| Entity Type | Organization |
| Organization Name | PREMIER DIAGONSTIC IMAGING, INC |
| Practice Address |
12800 Highway 55 Plymouth MN 55441-3840 |
| Practice Telephone | 7637468001 |
| Practice Fax Number | 7637468004 |
| Mailing Telephone | 7637468001 |
| Mailing Fax Number | 7637468004 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | KIM ALGOO (CEO) |
| Authorized Official Telephone | 7637468001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
12800 HIGHWAY 55 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750533469 | Premier Diagnostic Imaging, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 12800 Highway 55, Plymouth, MN 55441-3840 | 2008-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821571399 | Premier Medical Imaging LLC | Radiology | 2855 Miller Dr Ste 113, Plymouth, IN 46563-8091 | 2018-09-11 |
| 1144495722 | Andrew Allen Thoreson | Radiology | 2800 Campus Dr Ste 20, Plymouth, MN 55441-2669 | 2008-04-24 |
| 1679787279 | Vinay Ravi | Radiology | 2955 Xenium Ln N Ste 40, Plymouth, MN 55441 | 2007-05-10 |
| 1023103843 | Robert J Scott | Radiology | W7177 County Road Z, Plymouth, WI 53073-3835 | 2006-10-04 |
| 1932119542 | Chris G.w. Bauman | Radiology | 2955 Xenium Ln N, Suite 40, Plymouth, MN 55441-2666 | 2006-08-08 |
| 1417915380 | Gordon K Kanzer | Radiology | 3 Cedarhill Park Dr, Plymouth, MA 02360-2226 | 2006-05-02 |
| 1124562483 | Jordan Physician Associates, Inc. | Radiology | 275 Sandwich St, Plymouth, MA 02360-2183 | 2016-12-06 |
| 1922363084 | Christopher S. Stampe | Radiology | 2800 Campus Dr Ste 20, Plymouth, MN 55441 | 2012-07-05 |
| 1912274572 | Bilal Anwer | Radiology | 2955 Xenium Ln N, Ste 40, Plymouth, MN 55441-2668 | 2011-11-28 |
| 1629244793 | Colleen W Fine | Radiology | 275 Sandwich St, Plymouth, MA 02360-2183 | 2008-05-07 |
| Find all providers in PLYMOUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.