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MEDICAL SCANNING CONSULTANTS, P.A.

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Company Details

Legal Name: MEDICAL SCANNING CONSULTANTS, P.A.
Jurisdiction: WASHINGTON
Entity Type: FOREIGN PROFESSIONAL SERVICE CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: September 10th 2015
Expiration date: 30 Sep 2025
Branch of: MEDICAL SCANNING CONSULTANTS, P.A., MINNESOTA (Company Number 5ff96be3-b9d4-e011-a886-001ec94ffe7f)
UBI Number: 601 693 294
Home State: MINNESOTA
Principal Office Street Address: Google Maps Logo 5775 WAYZATA BLVD, STE 400, ST LOUIS PARK, MN, 55416, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 5775 WAYZATA BLVD, SUITE 400, ST LOUIS PARK, MN, 55416-1271, UNITED STATES

Contact Details

E-Mail: ANNE.STOEFEN@RAYUSRADIOLOGY.COM
Phone Number: +1 563-449-6653

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role
BLAKE JOHNSON, MD, FACR Governing Person
STEVEN POLLEI, MD Governing Person
DERIK WELDON, MD Governing Person
PETER BOVE, MD Governing Person
JAMES SULLIVAN, MD Governing Person
SHANE ROSE, MD Governing Person
MATS LIDEN, MD Governing Person
JARROD DURKEE, MD Governing Person

National Provider Identifier

NPI Number:
1518995646
Certification Date:
2024-01-08

Authorized Person:

Name:
RAMONA L AHERN
Role:
SPECIAL ASSISTANT SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Fax:
9525136880
Fax:
2536821667
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