Healthcare Provider Details

I. General information

NPI: 1659348092
Provider Name (Legal Business Name): MEDICAL SCANNING CONSULTANTS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5775 WAYZATA BLVD STE 190
ST LOUIS PARK MN
55416-2627
US

IV. Provider business mailing address

PO BOX 1450 NW 6035
MINNEAPOLIS MN
55485-1450
US

V. Phone/Fax

Practice location:
  • Phone: 952-541-1840
  • Fax: 952-543-6524
Mailing address:
  • Phone: 866-674-7933
  • Fax: 952-513-6880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMONA L AHERN
Title or Position: SPECIAL ASSISTANT SECRETARY
Credential:
Phone: 952-738-4441