LAKES IMAGING LLC; NPI #1437182839

Contact Information

LAKES IMAGING LLC

2019 S 6TH ST
BRAINERD, MN 56401-4528

Phone: 218-822-4242
Fax: 218-822-3758
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 LAKES IMAGING LLC

NPI # 1437182839

LBN Legal business name LAKES IMAGING LLC

Authorized official JOHN HOLMEN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/09/2006

Last updated 08/22/2020 - About 6 years ago

Identifiers

MN	Other	1033922	PREFFERED ONE
MN	Other	171008	UCARE

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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