Midwest Regional Imaging Services

Organization Active NPI Specialist · Sioux Falls, SD

NPI 1689616047 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1689616047
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
50438 (SD)
Legal business name
MIDWEST REGIONAL IMAGING SERVICES
Practice address
6001 S Sharon Ave
Sioux Falls, SD 57108-5746
Phone
(605) 338-8811
Fax
(605) 334-9529
NPI assigned
Jun 11, 2006
Organization subpart
No

Authorized official

Name
Mr. Gerald L. Larson
Title
Administrator
Phone
(605) 336-0515

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X 50438 SD Yes

Addresses

Primary practice location

6001 S Sharon Ave
Sioux Falls, SD 57108-5746

Mailing address

1417 S Minnesota Ave
Sioux Falls, SD 57105-1715
Phone (605) 336-0515

Other identifiers

IdentifierTypeStateIssuer
7200940MedicaidSD

Other providers in Sioux Falls, SD

All providers in Sioux Falls, SD · Specialist in South Dakota

Sources for this page

Verify at the official NPI Registry.