| NPI | 1245494723 |
|---|---|
| Doing Business As | DAVITA MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JOHN G LIETHEN Secretary 952-205-6262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247100000X Radiologic Technologist |
| Additional Taxonomies | 2471V0105X Radiologic Technologist, Vascular Sonography |
| 2471V0106X Radiologic Technologist, Vascular-Interventional Technology | |
| 2471B0102X Radiologic Technologist, Bone Densitometry | |
| 2471C3401X Radiologic Technologist, Computed Tomography | |
| 2471C3402X Radiologic Technologist, Radiography | |
| 2471M1202X Radiologic Technologist, Magnetic Resonance Imaging | |
| 2471M2300X Radiologic Technologist, Mammography | |
| 2471S1302X Radiologic Technologist, Sonography | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2019-08-20 |