Organization Name: | DIAGNOSTIC RADIOLOGIC IMAGING PA |
NPI Number: | 1053338780 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LORI J SPARTZ (ADMINISTRATOR) |
Mailing Address: | 1607 N Mcmillan St Ste 1 Worthington |
State: | MN US |
Postal Code: | 56187 |
Phone Number: | 5073722120 |
Fax Number: | 5073724585 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |