Stand Up Mid America MRI, P.a.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

STAND UP MID AMERICA MRI, P.A.

Practice address

604 Lilac Dr N
Suite 100
Golden Valley, MN 55422-4610

Phone

(753) 521-5000

Fax

(763) 521-2000

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Wayne E Dahl, D.C.

Title

President Owner

Phone

(763) 521-5000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SUMA MRI, P.A. Doing business as

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1679601553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 LILAC DR N",
            "address_2": "SUITE 100",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224610",
            "telephone_number": "753-521-5000",
            "fax_number": "763-521-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LILAC DR N",
            "address_2": "SUITE 100",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224610",
            "telephone_number": "753-521-5000",
            "fax_number": "763-521-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAND UP MID AMERICA MRI, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "763-521-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051128500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUMA MRI, P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Ann Sperling, DPM
• Spring Gate Health, LLC
• Joseph R Spurlock, MD
• Jordan Elizabeth Stafford, DC
• Troy Stalcar
• Standup Multipositional Advantage MRI,P.a.
• Alexandra Ann Stanger, LPCC, MA
• Emily Therese Staples
• State of Minnesota
• Iva Joan Stauffer, LICSW

• Magnetic Resonance Imaging (MRI) Clinic/Center in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.