NOBLE IMAGING CENTER, LLC; NPI #1154834091

Contact Information

NOBLE IMAGING CENTER, LLC

4610 OAK GROVE PKWY N
BROOKLYN PARK, MN 55443-4062

Phone: 763-488-1666
Fax: 763-488-1666
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for NOBLE IMAGING CENTER, LLC

NPI # 1154834091

LBN Legal business name NOBLE IMAGING CENTER, LLC

Authorized official MIN DOAN - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/14/2017

Last updated 11/14/2017 - About 9 years ago

Identifiers

License #

976334500021

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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