| Organization Name: | TWIN CITIES DIAGNOSTIC CENTER, LLC. |
| NPI Number: | 1073953451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATIANA FLEITES (OFFICER) |
| Mailing Address: | 7570 Wayzata Boulevard Golden Valley |
| State: | MN US |
| Postal Code: | 55426 |
| Phone Number: | 7637178754 |
| Fax Number: | 7637178758 |
| NPI Enumeration Date: | 06/28/2013 |
| NPI Last Update Date: | 06/28/2013 |
| 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: | |