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Lifescan Minnesota Stand Up Mri LLC

Magnetic Resonance Imaging (MRI) Clinic/Center in St Louis Park, MN · enumerated 2005 · authorized official Michelle Douglas, Credentialing Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134122054

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Registry record

Entity type Organization (Type 2)
Legal business name Lifescan Minnesota Stand Up Mri LLC
Parent organization Lifescan Minnesota Stand Up Mri LLC
Practice address 5023 Excelsior Blvd, Ste 9b, St Louis Park, MN, 55416
Phone (952) 920-8860
Fax (952) 920-8869
Enumeration date May 24, 2005
Last updated in NPPES Jul 7, 2008

Taxonomy & classification

261QM1200X Magnetic Resonance Imaging (MRI) Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Michelle Douglas
Title Credentialing Manager
Phone (502) 403-1401

Other identifiers

Identifier Type State Issuer
377120200 Medicaid MN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lifescan Minnesota Stand Up Mri LLC?
The NPI for Lifescan Minnesota Stand Up Mri LLC is 1134122054, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lifescan Minnesota Stand Up Mri LLC?
NPPES lists Michelle Douglas (Credentialing Manager) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-07.