Organization Active NPI

Life Imaging, PA

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Inver Grove Heights, MN
National Provider Identifier
1932523768
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
LIFE IMAGING, PA
Practice address
2125 Upper 55TH St E
Suite 250
Inver Grove Heights, MN 55077-1734
Phone
(651) 451-3311
Fax
(651) 451-3377
NPI assigned
Feb 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Dr. Timothy W Guthman, D.C
Title
Owner
Phone
(651) 451-3311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

2125 Upper 55TH St E
Suite 250
Inver Grove Heights, MN 55077-1734

Mailing address

485 Arundel St
Suite 102
Saint Paul, MN 55103-1931
Phone (651) 451-3311

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1932523768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 ARUNDEL ST",
            "address_2": "SUITE 102",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031931",
            "telephone_number": "651-451-3311",
            "fax_number": "651-451-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 UPPER 55TH ST E",
            "address_2": "SUITE 250",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550771734",
            "telephone_number": "651-451-3311",
            "fax_number": "651-451-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE IMAGING, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-14",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "GUTHMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-451-3311",
        "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.