SUBURBAN RADIOLOGIC CONSULTANTS, LTD.; NPI #1629027594

Contact Information

SUBURBAN RADIOLOGIC CONSULTANTS, LTD.

2355 HWY 36 W.
STE. 100
ROSEVILLE, MN 55113-5511

Phone: 651-292-2000
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 SUBURBAN RADIOLOGIC CONSULTANTS, LTD.

NPI # 1629027594

LBN Legal business name SUBURBAN RADIOLOGIC CONSULTANTS, LTD.

Authorized official ROBERT STAROSTA - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/09/2006

Last updated 06/30/2020 - About 6 years ago

Identifiers

MN	License #	261
MN	Medicaid	5077087-00
	Other	CT0958	RAILROAD MEDICARE

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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