Organization Active NPI

Twin Cities Diagnostic Center, LLC.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Golden Valley, MN
National Provider Identifier
1073953451
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
TWIN CITIES DIAGNOSTIC CENTER, LLC.
Practice address
7570 Wayzata Boulevard
Golden Valley, MN 55426
Phone
(763) 717-8754
Fax
(763) 717-8758
NPI assigned
Jun 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Katiana Fleites
Title
Officer
Phone
(305) 643-0300

Specialties & licenses 1

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

Addresses

Primary practice location

7570 Wayzata Boulevard
Golden Valley, MN 55426

Mailing address

7570 Wayzata Boulevard
Golden Valley, MN 55426
Phone (763) 717-8754

National Provider Directory

National Provider Directory

Locations

7570 Wayzata Blvd
Golden Valley, MN 55426
Phone (763) 717-8754

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1073953451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 WAYZATA BOULEVARD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "763-717-8754",
            "fax_number": "763-717-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 WAYZATA BOULEVARD",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "763-717-8754",
            "fax_number": "763-717-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES DIAGNOSTIC CENTER, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "FLEITES",
        "authorized_official_first_name": "KATIANA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-643-0300"
    },
    "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 Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.