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NPI Code Detail

MEDICARE: PHYSICIANS FIRST CHOICE DIAGNOSTICS CENTER

MEDICARE: PHYSICIANS FIRST CHOICE DIAGNOSTICS CENTER
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
1261QM1200XMagnetic Resonance Imaging (MRI) Clinic/Center

General Provider Information

NPI Number : 1922272673
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICIANS FIRST CHOICE DIAGNOSTICS CENTER
Provider Business Mailing Address
First Line : 735 KASOTA AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-2842
Country : US
Telephone Number : 612-623-1010
Fax Number : 612-623-1191
Provider Business Practice Location Address
First Line : 735 KASOTA AVE SE
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55414-2842
Country : US
Telephone Number : 612-623-1010
Fax Number : 612-623-1191
Authorized Official
Title or Position : PRESIDENT
Name : MR. ANGEL L SOTO
Credential :
Telephone Number : 954-559-2421
Provider Enumeration Date : 04/14/2008
Last Update Date : 04/29/2008

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Directions to “PHYSICIANS FIRST CHOICE DIAGNOSTICS CENTER ” Practice Location

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