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

Pediatric Radiology, PA

Organization Pediatric Radiology Physician · NPI 1124072673

Pediatric Radiology, PA is a Pediatric Radiology Physician in Minneapolis, Minnesota. Registered with an NPI since 2006.

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

2525 Chicago Ave
Minneapolis, MN 55404-4518
Phone: (612) 813-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Radiology Physician (primary) Taxonomy 2085P0229X

Record details

NPI number1124072673
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leland Prewitt — President · (612) 813-8200
NPI enumeratedMay 20, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 46100, Plymouth, MN 55446-0100

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