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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MN | 051128500 | 05 |
Other Name | Type Code |
---|---|
SUMA MRI, P.A. | Doing Business As Name - Organization |
Street Address |
604 LILAC DR N SUITE 100 |
City | GOLDEN VALLEY |
State | MN |
Zip Code | 55422-4610 |
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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1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
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1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
Find all providers in zip 55422 |
Taxonomy Code | 261QM1200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Magnetic Resonance Imaging (MRI) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073953451 | Twin Cities Diagnostic Center, LLC. | Clinic/Center | 7570 Wayzata Boulevard, Golden Valley, MN 55426 | 2013-06-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417494196 | Smart Choice Mri, LLC | Clinic/Center | 13000 Technology Dr Ste 100, Eden Prairie, MN 55344-3606 | 2017-01-19 |
1215480942 | Smart Choice Mri, LLC | Clinic/Center | 1704 E 66th St, Minneapolis, MN 55423 | 2016-07-29 |
1205205069 | Midwest Imaging LLP | Clinic/Center | 2781 Freeway Blvd Ste 160, Brooklyn Center, MN 55430-1765 | 2015-09-22 |
1346652609 | Northwest Mri Center | Clinic/Center | 4610 Oak Grove Pkwy N, Brooklyn Park, MN 55443-4062 | 2014-05-21 |
1861811333 | Woodbury Mri, LLC | Clinic/Center | 6053 Hudson Rd Ste 140, Woodbury, MN 55125-1022 | 2014-04-14 |
1285050211 | Mai Spine Center P.a. | Clinic/Center | 485 Arundel St # 102, Saint Paul, MN 55103-1931 | 2014-03-14 |
1073819918 | Minnetonka Imaging Mri, Inc. | Clinic/Center | 6053 Hudson Rd Ste 357, Woodbury, MN 55125-1031 | 2011-02-09 |
1922272673 | Physicians First Choice Diagnostics Center | Clinic/Center | 735 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2008-04-14 |
1528269669 | Diagnostic Solutions | Clinic/Center | 33289 Forest Blvd, Stacy, MN 55079-4530 | 2007-05-29 |
1669681532 | Spine Imaging Mri LLC | Clinic/Center | 393 North Dunlap Street, Suite Ll40, St Paul, MN 55104 | 2007-05-21 |
Find all providers with the same taxonomy |
City | GOLDEN VALLEY |
Zip Code | 55422 |
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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.