Northstar Imaging LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

4848 Issued in MN

Legal business name

NORTHSTAR IMAGING LLC

Practice address

8053 E Bloomington Fwy
#450
Bloomington, MN 55420-4577

Phone

(612) 227-9606

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Michael D Mai

Title

Vice President/Secretary

Phone

(612) 227-9606

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1497149926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8053 E BLOOMINGTON FWY",
            "address_2": "#450",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204577",
            "telephone_number": "612-227-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8053 E BLOOMINGTON FWY",
            "address_2": "#450",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204577",
            "telephone_number": "612-227-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTAR IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "612-227-9606"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MN",
            "license": "4848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Moriah Rose Novacinski
• Jeffrey Novak, D.C.

• Radiology Clinic/Center in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Radiology Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.