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Contact Information

STAND UP MID AMERICA MRI, P.A.
604 LILAC DR N
SUITE 100
GOLDEN VALLEY, MN55422-4610
 Phone: 753-521-5000
 Fax: 763-521-2000
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for STAND UP MID AMERICA MRI, P.A.

NPI # 1679601553
LBN Legal business name STAND UP MID AMERICA MRI, P.A.
Authorized official WAYNE DAHL - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/01/2007
Last updated 07/25/2008 - About 18 years ago
Identifiers
MN Medicaid 051128500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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