Medical Imaging Associates

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4523 Issued in ND

Legal business name

MEDICAL IMAGING ASSOCIATES

Practice address

1031 7TH St NE
Devils Lake, ND 58301

Phone

(701) 662-5247

Fax

(701) 662-4473

NPI assigned

Nov 28, 2007

Last updated

Oct 8, 2012By 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

Mrs. Darla J Vetsch

Title

MGR

Phone

(701) 662-5247

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1861674210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "58301",
            "telephone_number": "701-662-5247",
            "fax_number": "701-662-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 7TH ST NE",
            "city": "DEVILS LAKE",
            "state": "ND",
            "postal_code": "58301",
            "telephone_number": "701-662-5247",
            "fax_number": "701-662-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "VETSCH",
        "authorized_official_first_name": "DARLA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "701-662-5247",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10451",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adalia M McCrea, LAC
• Billy W McEwen Jr., LAC
• Kathy McGarvey
• Piagon P McKay
• Roxanne Reyne McLean, R.PH.
• Dylan Medrud
• Dennis M. Meier, L.S.W.
• Jacquelyn N Meier, MSW
• Shawn Meier, LAC
• Jodi L. Melander, PAC

• Diagnostic Radiology Physician in Devils Lake, ND
• Providers in Devils Lake, ND by specialty
• Diagnostic Radiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.