CENTER FOR DIAGNOSTIC IMAGING
NPI 1679512172
Radiology - Diagnostic Radiology in Eden Prairie, MN

NPI Status: Active since June 06, 2006

Contact Information

775 PRAIRIE CENTER DR
SUITE 260
EDEN PRAIRIE, MN
ZIP 55344
Phone: (952) 345-3805
Fax: (952) 294-8217

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  • Organization
  • Radiology
  • Diagnostic Radiology

About CENTER FOR DIAGNOSTIC IMAGING

This page provides the complete NPI Profile along with additional information for Center For Diagnostic Imaging, a provider established in Eden Prairie, Minnesota operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1679512172 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Center For Diagnostic Imaging. The authorized official of this NPI record is Donald D Jacobsen (Officer On The Board Secretary)

NPI
1679512172
Provider Legal Name
CDI FAIRVIEW EDEN PRAIRIE LLC
Other Organization Name
CENTER FOR DIAGNOSTIC IMAGING
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
775 PRAIRIE CENTER DR SUITE 260 EDEN PRAIRIE, MN 55344
Location Phone
(952) 345-3805
Location Fax
(952) 294-8217
Mailing Address
NW5765 PO BOX 1450 MINNEAPOLIS, MN 55485
Mailing Phone
(952) 542-8553
Mailing Fax
(952) 294-8217
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-06-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD D JACOBSEN

Authorized Official Title
OFFICER ON THE BOARD SECRETARY
Authorized Official Phone
(952) 543-6500

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1679512172
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261491014114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 4 + 9 + 1 + 0 + 1 + 4 + 1 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1679512172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1154349918 JAMES HERMAN RAKOW AT
Individual
Specialist/Technologist (Athletic Trainer)775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-2519
1780695007 J PATRICK SMITH M.D.
Individual
Orthopaedic Surgery775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-2519
1689789554 RICHARD BOM PT
Individual
Physical Therapist775 PRAIRIE CENTER DR #250
EDEN PRAIRIE, MN 55344
(952) 944-5314
1447365218 KIMBERLY ANN BIXEL PT
Individual
Physical Therapist775 PRAIRIE CENTER DR #250
EDEN PRAIRIE, MN 55344
(952) 944-5314
1487769253 TONI LEE DAUWALTER PT
Individual
Physical Therapist775 PRAIRIE CENTER DR #250
EDEN PRAIRIE, MN 55344
(952) 944-5314
1164537031 RYAN D KOEPP PT
Individual
Physical Therapist775 PRAIRIE CENTER DR #250
EDEN PRAIRIE, MN 55344
(952) 944-5314
1770699555 BRAD ROBERT MOSER M.D.
Individual
Family Medicine (Sports Medicine)775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-2519
1972619690 LYLE DAVID WILLOCK RNFA, PA, ROPA-C
Individual
Clinical Nurse Specialist775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-2519
1275649873 LAURIE JEAN WHITBECK LPN, OPA-C
Individual
Clinical Nurse Specialist (Medical-Surgical)775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-2519
1649388380 MICHAEL L MANCINI DO
Individual
Chiropractor775 PRAIRIE CENTER DR #250
EDEN PRAIRIE, MN 55344
(952) 944-5314
1386736221 TERESA CASPAR PT
Individual
Physical Therapist775 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
(952) 944-5314
1710019583MRS. EMILY JUNE ANTONY ATC, MED
Individual
Specialist/Technologist (Athletic Trainer)775 PRAIRIE CENTER DR 250
EDEN PRAIRIE, MN 55344
(952) 944-5314
1386763886 MICHELLE ZENZ ATC
Individual
Specialist/Technologist (Athletic Trainer)775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-5314
1063535110 DAVID FLOYD WINECOFF PA
Individual
Physician Assistant775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-2519
1689898827 GARY K SMITH
Individual
Specialist/Technologist (Athletic Trainer)775 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
(952) 944-5314
1427291624 REBECCA MCCATHIE ATC
Individual
Specialist/Technologist (Athletic Trainer)775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-2519
1053625434 JOHN A CORBO PT
Individual
Physical Therapist775 PRAIRIE CENTER DR 250
EDEN PRAIRIE, MN 55344
(952) 944-5314
1245633585MR. TYLER HANSON ATC
Individual
Specialist/Technologist (Athletic Trainer)775 PRAIRIE CENTER DR
EDEN PRAIRIE, MN 55344
(952) 944-5314
1699706176MEDICAL SCANNING CONSULTANTS PA
Organization
Radiology (Diagnostic Radiology)775 PRAIRIE CENTER DR SUITE 260
EDEN PRAIRIE, MN 55344
(952) 345-3805
1659488625 THOMAS JOSEPH GENDRON CNOR, OPA-C
Individual
Registered Nurse (Registered Nurse First Assistant)775 PRAIRIE CENTER DR SUITE 250
EDEN PRAIRIE, MN 55344
(952) 944-2519

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679512172, enumerated in the NPI registry as an "organization" on June 06, 2006

The provider is located at 775 Prairie Center Dr Suite 260 Eden Prairie, Mn 55344 and the phone number is (952) 345-3805

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

This NPI record was last updated on June 06, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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