Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diagnostic Radiologic Imaging PA

Organization Diagnostic Radiology Physician · NPI 1053338780

Diagnostic Radiologic Imaging PA is a Diagnostic Radiology Physician in Worthington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1607 N McMillan St Ste 1
Worthington, MN 56187
Phone: (507) 372-2120
Fax: (507) 372-4585
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 545 (MN)

Record details

NPI number1053338780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lori Spartz — Administrator · (507) 372-2120
NPI enumeratedJuly 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 338, Worthington, MN 56187

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