Provider Demographics
NPI:1578652202
Name:DAKOTA MRI CENTER
Entity Type:Organization
Organization Name:DAKOTA MRI CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-222-1300
Mailing Address - Street 1:1100 WEISS AVE
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0539
Mailing Address - Country:US
Mailing Address - Phone:701-222-1300
Mailing Address - Fax:701-222-2166
Practice Address - Street 1:1100 WEISS AVE
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0539
Practice Address - Country:US
Practice Address - Phone:701-222-1300
Practice Address - Fax:701-222-2166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance ImagingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND26363OtherPROVIDER NUMBER FOR BC/BS