Organization Active NPI

Proreads

  • Mobile Radiology Clinic/Center
  • Edina, MN
National Provider Identifier
1821266529
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
20214283 Issued in MN
Legal business name
PROREADS
Practice address
5021 Vernon Ave S
Suite 300
Edina, MN 55436
Phone
(612) 280-9096
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Mrs. Michelle Kim Applene
Title
Ceo
Phone
(612) 280-9096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 20214283 MN Primary

Addresses

Primary practice location

5021 Vernon Ave S
Suite 300
Edina, MN 55436

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1821266529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 VERNON AVE S",
            "address_2": "SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55436",
            "telephone_number": "612-280-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 VERNON AVE S",
            "address_2": "SUITE 300",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55436",
            "telephone_number": "612-280-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROREADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "APPLENE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-280-9096",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "MN",
            "license": "20214283",
            "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 Feb 15, 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.