NPI | 1003869140 |
---|---|
Doing Business As | CENTER FOR DIAGNOSTIC IMAGING |
Entity Type | Organization |
Authorized Contact | DONALD D JACOBSEN Officer On The Board Secretary 952-543-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
Enumeration Date | 2006-05-18 |
Last Update Date | 2008-04-02 |