Organization Active NPI

Diagnostic Imaging

  • Mobile Radiology Clinic/Center
  • Edina, MN
National Provider Identifier
1669642864
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
DIAGNOSTIC IMAGING
Practice address
5021 Vernon Ave So
Suite 300
Edina, MN 55436
Phone
(612) 280-9096
Fax
(952) 920-2377
NPI assigned
Mar 4, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kristi Ellen Anderson
Title
Office Manager
Phone
(612) 280-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X MO Primary

Addresses

Primary practice location

5021 Vernon Ave So
Suite 300
Edina, MN 55436

Mailing address

5021 Vernon Ave So
Suite 300
Edina, MN 55436
Phone (612) 280-9096

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Imaging2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669642864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 VERNON AVE SO",
            "address_2": "SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55436",
            "telephone_number": "612-280-9096",
            "fax_number": "952-920-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 VERNON AVE SO",
            "address_2": "SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55436",
            "telephone_number": "612-280-9096",
            "fax_number": "952-920-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-280-9096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • 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.