Excel MRI, P.a.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

License

4060 Issued in MN

Legal business name

EXCEL MRI, P.A.

Practice address

4610 Oak Grove Pkwy N
Brooklyn Park, MN 55443-4062

Phone

(612) 242-2169

NPI assigned

Mar 17, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Jason Anderson, D.C.

Title

President

Phone

(612) 242-2169

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1194186189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553310530",
            "telephone_number": "612-242-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 OAK GROVE PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554434062",
            "telephone_number": "612-242-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL MRI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-242-2169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "MN",
            "license": "4060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Etler
• Camille Krashawn Eubanks
• Troy Michael Evenson, PA C
• Evolution Therapy
• Evolve Health and Wellness LLC
• Excell Academy for Higher Learning
• Eye Klinic Inc
• Gadeeh Fahnbulleh, HOME MAKER
• Fairhavens Home Care
• Fairhavens Home Care

• Magnetic Resonance Imaging (MRI) Clinic/Center in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; 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.