NPIMap

Organization Active NPI

Mobile Imaging Services, LLC

  • Diagnostic Radiology Physician
  • Sartell, MN
National Provider Identifier
1356458475
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MOBILE IMAGING SERVICES, LLC
Practice address
2000 Abbott NW CT
Ste 115
Sartell, MN 56377
Phone
(320) 534-2100
Fax
(320) 534-2104
NPI assigned
Aug 24, 2006
Last updated
Sep 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Karla Myhra-Bloom, M.D.
Title
Radiology
Phone
(612) 573-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2000 Abbott NW CT
Ste 115
Sartell, MN 56377

Mailing address

1221 Nicollet Mall
Ste 600
Minneapolis, MN 55403
Phone (612) 573-2200

National Provider Directory

National Provider Directory

Locations

2000 23rd St S
Ste 115
Sartell, MN 56377
Phone (320) 534-2000

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1356458475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 NICOLLET MALL",
            "address_2": "STE 600",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55403",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ABBOTT NW CT",
            "address_2": "STE 115",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "56377",
            "telephone_number": "320-534-2100",
            "fax_number": "320-534-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "MYHRA-BLOOM",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "RADIOLOGY",
        "authorized_official_telephone_number": "612-573-2200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.