Organization Name: | RADIOLOGY & IMAGING CONSULTANTS PA |
NPI Number: | 1043407893 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VINTON LEE ALBERS (PRESIDENT) |
Mailing Address: | 7373 147th St W Apple Valley |
State: | MN US |
Postal Code: | 551247690 |
Phone Number: | 9524323320 |
Fax Number: | 9524323210 |
NPI Enumeration Date: | 09/25/2007 |
NPI Last Update Date: | 09/25/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 1302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |