HEALTHEAST MEDICAL IMAGING LLC – NPI #1316965064
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

HEALTHEAST MEDICAL IMAGING LLC is a radiologist located in VADNAIS HEIGHTS, MN. NPPES has assigned the NPI number 1316965064 to HEALTHEAST MEDICAL IMAGING LLC on July 18, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 11 years ago on May 20, 2015. 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 HEALTHEAST MEDICAL IMAGING LLC below.

NPI Profile for
HEALTHEAST MEDICAL IMAGING LLC

NPI Number
1316965064
Enumeration Date

(about 20 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
HEALTHEAST MEDICAL IMAGING LLC
Primary location
3640 TALMAGE CIRCLE
STE 100
VADNAIS HEIGHTS, MN 55110
Phone: (651) 426-7226 Fax: (651) 426-7235
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DOUG DAVENPORT
CFO
Phone: (651) 232-2250
Updated
Identifiers

Identifiers for HEALTHEAST MEDICAL IMAGING 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
MEDICAIDMN161668400
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
2085R0202X
- Radiology / Diagnostic Radiology (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.