Rai Keystone Imaging Services, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RAI KEYSTONE IMAGING SERVICES, LLC

Doing business as

Center for Diagnostic Imaging

Practice address

5775 Wayzata Blvd Ste 400
St Louis Park, MN 55416-1271

Phone

(952) 525-6338

Fax

(952) 905-5697

NPI assigned

Aug 15, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan C. Holman

Title

Special Assistant Secretary

Phone

(952) 525-6338

Specialties & licenses 1

Addresses

Other names 1

• Center for Diagnostic Imaging Doing business as

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1609392349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 400",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161271",
            "telephone_number": "952-525-6338",
            "fax_number": "952-905-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 400",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161271",
            "telephone_number": "952-525-6338",
            "fax_number": "952-905-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAI KEYSTONE IMAGING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOLMAN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SPECIAL ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-525-6338"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gail A Radosevich, RD, CDE
• Kristen R Radtke
• Sandra Y Rae, OTRL
• Kevin S Raff, MD
• Jade Bender Rafferty, PH.D., LP
• Daniel Raies, OD
• Elaina Railey, APRN
• Timothy C Rajtora
• Sarah Sween Ramer, PT
• Amber Leigh Ramirez-Acosta, OTR/L

• Diagnostic Radiology Physician in St Louis Park, MN
• Providers in St Louis Park, 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 Jul 21, 2022; 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.