Provider Demographics
NPI:1558406074
Name:DIAGNOSTIC IMAGING, INC
Entity Type:Organization
Organization Name:DIAGNOSTIC IMAGING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:K
Authorized Official - Last Name:APPLEMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-920-6500
Mailing Address - Street 1:6500 BARRIE RD
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-2348
Mailing Address - Country:US
Mailing Address - Phone:952-920-6500
Mailing Address - Fax:952-920-9702
Practice Address - Street 1:6500 BARRIE RD
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2348
Practice Address - Country:US
Practice Address - Phone:952-920-6500
Practice Address - Fax:952-920-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN261QM1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========OtherMOBILE DIAGNOSTIC IMAGING