Northern Diagnostic Services, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3896172 Issued in MN

Legal business name

NORTHERN DIAGNOSTIC SERVICES, INC

Practice address

1001 N 9TH Ave
Virginia, MN 55792-2279

Phone

(218) 741-0001

Fax

(218) 749-2707

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lori Jane Gilbert

Title

Billing Clerk

Phone

(218) 741-0001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NORTH STAR MEDICAL EQUIPMENT Doing business as

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1467467233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 9TH ST N",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922325",
            "telephone_number": "218-741-0001",
            "fax_number": "218-749-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N 9TH AVE",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "557922279",
            "telephone_number": "218-741-0001",
            "fax_number": "218-749-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "218-741-0001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "3896172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "759884000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9G449NO",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH STAR MEDICAL EQUIPMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fallyn Joan Nicholson, MSW, LICSW
• Steven Daniel Niece
• Candie L Nikunen
• Michael Asamoah Nkrumah, PHARM D, PA-C
• Kaitlyn Nicolle Bremer Nordling, PA-C
• Northern Diagnostic Services, Inc.
• Northern Minnesota Eye Care LLC
• Northern Physician Services, Inc
• Northern Physicians Services
• Northern Reflections Counseling PLLC

• Durable Medical Equipment & Medical Supplies in Virginia, MN
• Providers in Virginia, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.