Organization Name: | MIDWEST IMAGING LLP |
NPI Number: | 1205205069 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | QUINCY CHERMAN (PRESIDENT) |
Mailing Address: | 2781 Freeway Blvd Ste 160 Brooklyn Center |
State: | MN US |
Postal Code: | 554301765 |
Phone Number: | 6517281867 |
Fax Number: | |
NPI Enumeration Date: | 09/22/2015 |
NPI Last Update Date: | 09/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1200X |
License Number: | 835203700021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Magnetic Resonance Imaging (MRI) |
Taxonomy Definition: |