Premier Diagonstic Imaging, Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

PREMIER DIAGONSTIC IMAGING, INC

Practice address

12800 Highway 55
Plymouth, MN 55441-3840

Phone

(763) 746-8001

Fax

(763) 746-8004

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Kim Algoo

Title

Ceo

Phone

(763) 746-8001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1548413131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 HIGHWAY 55",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413840",
            "telephone_number": "763-746-8001",
            "fax_number": "763-746-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 HIGHWAY 55",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413840",
            "telephone_number": "763-746-8001",
            "fax_number": "763-746-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DIAGONSTIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "ALGOO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-746-8001"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Praeger, MD
• Cortney Lee Prchal, OTR/L CHT
• Precision Chiropractic & Wellness, PLLC
• Pregnancy and Postpartum Support Minnesota
• Premier Diagnostic Imaging, Inc.
• Kaila Prestrud, DR. PHYSICAL THERAPY
• Samantha Jo Preusser, MSW, LICSW
• Lauren Luebbe Price, CRNA
• Philip James Price, MD
• Lauris J Prinsen, L.A.D.C.

• Diagnostic Radiology Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Diagnostic Radiology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.