| Organization Name: | COMMUNITY MRI SERVICES, LLC |
| NPI Number: | 1023039278 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J HOFER (PRESIDENT) |
| Mailing Address: | 1252 Washington Ave Detroit Lakes |
| State: | MN US |
| Postal Code: | 565013928 |
| Phone Number: | 2188476316 |
| Fax Number: | 2188476303 |
| NPI Enumeration Date: | 07/22/2006 |
| NPI Last Update Date: | 12/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
| Taxonomy Definition: | |