Cdi Fairview Eden Prairie LLC
NPI 1679512172ActiveOrganization· Radiology, Diagnostic Radiology· Eden Prairie, MN
Radiology, Diagnostic Radiology in Eden Prairie, Minnesota, registered in NPPES in June 2006. The authorized official on file is Donald D. Jacobsen, Officer On The Board Secretary.
Overview
| NPI | 1679512172 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 6, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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