institution
Proactive Imaging Llc
Diagnostic Radiology Physician in Edina, Minnesota
NPI 1619970910

Proactive Imaging Llc is a Diagnostic Radiology Physician based in Edina, MN and is specialized in Diagnostic Radiology. Proactive Imaging Llc practices in Edina, MN. The NPI Number for Proactive Imaging Llc is 1619970910 and holds a License No. 540 (Minnesota).

The current practice location address for Proactive Imaging Llc is 4000 W 76Th St, Edina, MN and can be reached out via phone at 952-853-7226 and via fax at 952-831-7555.

Location: 4000 W 76Th St, Edina, MN, 55435-5104
institution
Provider Profile Details
NPI Number
1619970910
Provider Name
Proactive Imaging Llc
Credential
Provider Entity Type
Organization
Address
4000 W 76Th St, Edina, MN, 55435-5104
Phone Number
952-853-7226
Fax Number
952-831-7555
Provider Enumeration Date
05/31/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
22030077 01 MN OFFICE OF WORK COMP.
P00053758 01 MN MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4000 W 76Th St
City
State
Zip
55435-5104
Phone Number
952-853-7226
Fax Number
952-831-7555
person
Provider Business Mailing Address Details
Address
4000 W 76Th St
City
State
Zip
55435-5104
Phone Number
952-853-7226
Fax Number
952-831-7555
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
540 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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