Madison Mcculloch in Eden Prairie - Diagnostic Radiology
Madison Mcculloch - NPI 1114124690
Madison Mcculloch is a Diagnostic Radiology in Eden Prairie, Minnesota. Madison Mcculloch practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Madison Mcculloch is 1114124690. The last update date is 2023-03-15.
Madison Mcculloch's current location address is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. You can contact this provider via phone number 9525951301 and fax number 6122944903. The mailing address for Madison Mcculloch is 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Madison Mcculloch |
|---|---|
| Address | 11995 Singletree Ln Ste 500, Eden Prairie, Minnesota |
| Phone Number | 9525951301 |
| Fax Number | 6122944903 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114124690 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2023-03-15 |
Provider Mailing Address Detail
| Address | 11995 Singletree Ln Ste 500 |
|---|---|
| City | Eden Prairie |
| State | Minnesota (MN) |
| Post Code | 553445349 |
| Phone Number | 9525951301 |
| Fax Number | 6122944903 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | M-12463 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 325622 | WA | LNIEVERGREEN RADIA | |
| 1114124690 | WA | -- | |
| 325620 | WA | LNI-RADIA REST OF WA COUNTIES | |
| 385244 | WA | LNI-SOUTH SOUND | |
| 327385 | WA | LNI-RADIA KING COUNTY | |
| 325621 | WA | LNI-SWEDISH RADIA EDMONDS | |
| 1114124690 | ID | -- | |
| 2035053 | WA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Madison Mcculloch?
The Madison Mcculloch has been issued the NPI (National Provider Identifier) 1114124690 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Madison Mcculloch?
The Madison Mcculloch is situated at 11995 Singletree Ln Ste 500, in the city of Eden Prairie, state of MN, with the zip code 553445349.
What is Madison Mcculloch's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Madison Mcculloch's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
When did Madison Mcculloch receive its 1114124690 assignment?
The Madison Mcculloch was assigned its 1114124690 on 2007-06-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Madison Mcculloch, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Madison Mcculloch, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-15.