MIDWEST RADIOLOGY OUTPATIENT IMAGING, LLC – NPI #1720059264
Radiology

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

MIDWEST RADIOLOGY OUTPATIENT IMAGING, LLC is a radiologist located in SAINT PAUL, MN. NPPES has assigned the NPI number 1720059264 to MIDWEST RADIOLOGY OUTPATIENT IMAGING, LLC on February 01, 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 5 years ago on Apr 05, 2021. 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 MIDWEST RADIOLOGY OUTPATIENT IMAGING, LLC below.

NPI Profile for
MIDWEST RADIOLOGY OUTPATIENT IMAGING, LLC

NPI Number
1720059264
Enumeration Date

(more than 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
MIDWEST RADIOLOGY OUTPATIENT IMAGING, LLC
Doing Business As (dba): MIDWEST RADIOLOGY OUTPATIENT IMAGING, LLC
Primary location
250 THOMPSON ST
SAINT PAUL, MN 55102-2370
Phone: (651) 292-2000 Fax:
Mailing address
2355 HWY 36 W.
STE. 100
ROSEVILLE, MN 55113-3905
Phone: (651) 292-2000 Fax:
Organization Subpart
No
Authorized Official
SEE YANG
CREDENTIALING MANAGER
Phone: (651) 292-2013
Updated
Certification Date
Apr 05, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MIDWEST RADIOLOGY OUTPATIENT 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
MEDICAIDMN485512400
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.