An Ly Church in Minneapolis - Diagnostic Radiology

An Ly Church - NPI 1083813182

An Ly Church is a Diagnostic Radiology in Minneapolis, Minnesota. An Ly Church practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for An Ly Church is 1083813182. The last update date is 2017-08-29.

An Ly Church's current location address is 909 Fulton St Se, Minneapolis, Minnesota. You can contact this provider via phone number 16126727422 and fax number 6122734370. The mailing address for An Ly Church is 909 Fulton St Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name An Ly Church
Address 909 Fulton St Se, Minneapolis, Minnesota
Phone Number 16126727422
Fax Number 6122734370
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1083813182
Provider Enumeration Date 2007-07-17
Last Updated Date 2017-08-29

Provider Mailing Address Detail

Address 909 Fulton St Se
City Minneapolis
State Minnesota (MN)
Post Code 554554800
Phone Number 16126727422
Fax Number 6122734370

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 60703
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7100248470 KY --

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FAQs about An Ly Church

What is the unique 10-digit identification code issued to An Ly Church by the Centers for Medicare & Medicaid Services?

The An Ly Church has been assigned the NPI (National Provider Identifier) 1083813182 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where An Ly Church is physically located?

The An Ly Church is situated at the following address: 909 Fulton St Se, Minneapolis, MN 554554800.

What is An Ly Church's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for An Ly Church is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.

On what date did the Centers for Medicare & Medicaid Services issue the 1083813182 to An Ly Church?

The An Ly Church received its 1083813182 assignment from the Centers for Medicare & Medicaid Services on 2007-07-17.

When was the information related to An Ly Church most recently updated or refreshed?

The details pertaining to the An Ly Church, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-08-29.

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