Cdi Fairview Eden Prairie LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

CDI FAIRVIEW EDEN PRAIRIE LLC

Doing business as

Center for Diagnostic Imaging

Practice address

775 Prairie Center Dr
Suite 260
Eden Prairie, MN 55344-7314

Phone

(952) 345-3805

Fax

(952) 294-8217

NPI assigned

Jun 6, 2006

Last updated

Aug 22, 2020By 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

Donald D Jacobsen

Title

Officer on the Board Secretary

Phone

(952) 543-6500

Specialties & licenses 1

Addresses

Other names 1

• Center for Diagnostic Imaging Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Fairview Health Services

  dba Fairview Orthotics and Prosthetics

  • Prosthetic/Orthotic Supplier
  • Princeton, MN
  • NPI 1861879330

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679512172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NW5765",
            "address_2": "PO BOX 1450",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554855765",
            "telephone_number": "952-542-8553",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PRAIRIE CENTER DR",
            "address_2": "SUITE 260",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447314",
            "telephone_number": "952-345-3805",
            "fax_number": "952-294-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDI FAIRVIEW EDEN PRAIRIE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICER ON THE BOARD SECRETARY",
        "authorized_official_telephone_number": "952-543-6500"
    },
    "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"
        }
    ]
}

• Catalyst Partners (Catalyst Health)
• Francesca Catibog, DDS
• Olivia Catlin, DC
• Emma Caudy
• Keith Alan Cauley, MD
• Ceiba Counseling PLLC
• Celleration Inc
• Center for Natural Medicine PA
• Omar Cespedes- Gomez, MD
• Chad Dockter OD LTD

• Diagnostic Radiology Physician in Eden Prairie, MN
• Providers in Eden Prairie, 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 Aug 22, 2020; 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.