Healthcare Provider Details

I. General information

NPI: 1386658052
Provider Name (Legal Business Name): COMMUNITY MRI SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N 37TH ST SUITE 302
NORFOLK NE
68701-3283
US

IV. Provider business mailing address

2829 UNIVERSITY DR S STE 201
FARGO ND
58103-6050
US

V. Phone/Fax

Practice location:
  • Phone: 402-379-2810
  • Fax: 702-379-4075
Mailing address:
  • Phone: 701-297-0305
  • Fax: 701-235-9660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE CAILLIER
Title or Position: MANAGER BILLING CLINICAL SERVICES
Credential:
Phone: 701-234-0112