STAND UP MID AMERICA MRI, P.A.


Address: 604 Lilac Dr N, Suite 100, Golden Valley, MN 55422-4610
Phone: 7535215000

STAND UP MID AMERICA MRI, P.A. (NPI# 1679601553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679601553
Entity Type Organization
Organization Name STAND UP MID AMERICA MRI, P.A.
Other Organization Name SUMA MRI, P.A.
Practice Address 604 Lilac Dr N
Suite 100
Golden Valley
MN 55422-4610
Practice Telephone 7535215000
Practice Fax Number 7635212000
Mailing Telephone 7535215000
Mailing Fax Number 7635212000
Enumeration Date 2007-03-01
Last Update Date 2008-07-25
Authorized Official Name DR. WAYNE E DAHL (PRESIDENT OWNER)
Authorized Official Telephone 7635215000
Authorized Official Credential D.C.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QR0200X Clinic/Center
Specialization: Radiology
Ambulatory Health Care Facilities
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MN 051128500 05

Other Provider/Organization Names

Other Name Type Code
SUMA MRI, P.A. Doing Business As Name - Organization

Office Location

Street Address 604 LILAC DR N
SUITE 100
City GOLDEN VALLEY
State MN
Zip Code 55422-4610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285890012 Standup Multipositional Advantage Mri,p.a. Clinic/Center 604 Lilac Dr N, Suite 100, Golden Valley, MN 55422-4610 2008-07-31

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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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NPI Name Taxonomy Address Enumeration
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1215480942 Smart Choice Mri, LLC Clinic/Center 1704 E 66th St, Minneapolis, MN 55423 2016-07-29
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1861811333 Woodbury Mri, LLC Clinic/Center 6053 Hudson Rd Ste 140, Woodbury, MN 55125-1022 2014-04-14
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Competitor

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City GOLDEN VALLEY
Zip Code 55422

Improve Information

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Dataset Information

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.

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