MAXILLOFACIAL IMAGING LLC; NPI #1477712008

Contact Information

MAXILLOFACIAL IMAGING LLC

2860 SNELLING AVE N
SUITE 2
ROSEVILLE, MN 55113-1438

Phone: 651-636-3050
Fax:
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 MAXILLOFACIAL IMAGING LLC

NPI Number	`1477712008`
LBN Legal business name	MAXILLOFACIAL IMAGING LLC
Authorized official	JANE ROACH - (MANAGER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	06/09/2008
Last updated	06/09/2008 - About 18 years ago
Identifiers	n/a

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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