Organization Active NPI

Minnetonka Imaging MRI, Inc.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Woodbury, MN
National Provider Identifier
1073819918
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
MINNETONKA IMAGING MRI, INC.
Practice address
6053 Hudson Rd Ste 357
Woodbury, MN 55125-1031
Phone
(612) 803-0811
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carlos Rivera, DC
Title
Doctor of Chiropractic
Phone
(612) 803-0811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

6053 Hudson Rd Ste 357
Woodbury, MN 55125-1031

Mailing address

6053 Hudson Rd Ste 357
Woodbury, MN 55125-1031

National Provider Directory

National Provider Directory

Locations

6053 Hudson Rd
Ste 357
Woodbury, MN 55125
Phone (612) 803-0811

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1073819918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6053 HUDSON RD STE 357",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6053 HUDSON RD STE 357",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251031",
            "telephone_number": "612-803-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNETONKA IMAGING MRI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "612-803-0811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.