SPINE IMAGING MRI LLC – NPI #1669681532
Clinic/Center

SPINE IMAGING MRI LLC is an AHC clinic located in SAINT PAUL, MN. NPPES has assigned the NPI number 1669681532 to SPINE IMAGING MRI LLC on May 21, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Magnetic Resonance Imaging (MRI)

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SPINE IMAGING MRI LLC below.

NPI Profile for
SPINE IMAGING MRI LLC

NPI Number
1669681532
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SPINE IMAGING MRI LLC
Primary location
393 NORTH DUNLAP STREET
SUITE LL40
SAINT PAUL, MN 55104
Phone: (651) 647-0000 Fax: (651) 645-9000
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EDUARDO BULLON
CHIEF EXECUTIVE OFFICER
Phone: (651) 647-0000
Updated
Identifiers

Identifiers for SPINE IMAGING MRI LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSSMN83M805P
OTHERHEALTH PARTNERSMN99121
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1200X
- Clinic/Center / Magnetic Resonance Imaging (MRI) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.