Center for Diagnostic Imaging – Diagnostic Radiology Physician, NPI 1003869140
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Center for Diagnostic Imaging
Park Place East, 5775, Wayzata Boulevard, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
SUITE 400
ST. LOUIS PARK, MN 55416
Phone: (952) 542-8553
Fax: (952) 513-6880
Type: Mailing
Center For Diagnosic Imaging, 2445, North Mayfair Road, Mayfair Park, Wauwatosa, Milwaukee County, Wisconsin, 53226, United States
WAUWATOSA, WI 53226
Phone: (414) 774-7226
Fax: (414) 774-6004
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55416)
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