MEDICARE: DIAGNOSTIC SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1200X	Magnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number	:	1528269669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIAGNOSTIC SOLUTIONS

Provider Business Mailing Address
First Line	:	33289 FOREST BLVD
Second Line	:
City	:	STACY
State	:	MN
Zip	:	55079-4530
Country	:	US
Telephone Number	:	612-756-4460
Fax Number	:	651-408-0835

Provider Business Practice Location Address
First Line	:	33289 FOREST BLVD
Second Line	:
City	:	STACY
State	:	MN
Zip	:	55079-4530
Country	:	US
Telephone Number	:	612-756-4460
Fax Number	:	651-408-0835

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. DELWIN ALLAN NESSET
Credential	:
Telephone Number	:	612-756-4460

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	08/22/2020

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