Proactive Imaging LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

540 Issued in MN

Legal business name

PROACTIVE IMAGING LLC

Doing business as

Minnesota Radiology

Practice address

4000 W 76TH St
Ste 100
Edina, MN 55435-5104

Phone

(952) 853-7226

Fax

(952) 831-7555

NPI assigned

May 31, 2005

Last updated

Oct 2, 2008By 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

Angel L Soto, PRESIDENT

Title

President

Phone

(954) 559-2421

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Minnesota Radiology Doing business as

Locations

Practitioners 3

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.

• Gregory Bruce Snyder, MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
  • NPI 1295730349
  NPD (past)
• Michael John Shanks, M.D.

  • Diagnostic Radiology Physician
  • Marinette, WI
  • NPI 1619906930
  NPD (past)
• Gail A Tasch, M.D.

  • Psychiatry Physician
  • Eau Claire, WI
  • NPI 1316929508
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1619970910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 W 76TH ST",
            "address_2": "STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355104",
            "telephone_number": "952-853-7226",
            "fax_number": "952-831-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 W 76TH ST",
            "address_2": "STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355104",
            "telephone_number": "952-853-7226",
            "fax_number": "952-831-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-559-2421",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00053758",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF WORK COMP.",
            "identifier": "22030077",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Alice Prindle
• Vera Irina Prisacari, MD
• Prischmann Facial Plastic Surgery, PLLC
• Elizabeth Ann Pritchard, LPCC
• Alisha Angelique Pritchett
• Professional Resource Network - PRN - Corporation (Professional Resource Network Home Health Care)
• Proficio Ancillary Service Provider, LLC
• Lana Prokop, DPT
• Proreads
• Wesley C Pruett, MD

• Diagnostic Radiology Physician in Edina, MN
• Providers in Edina, 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 2, 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.