OrganizationNational Radiology PllcRadiologyAllopathic & Osteopathic PhysiciansPractice Address4000 W 76th St, Ste 160, Edina, MN 55435-5104(952) 853-7226PECOS EnrollmentBased on the most recent information from CMS, provider National Radiology Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1821091125Provider TypeOrganizationFull NameNational Radiology PllcSubpartNoEnumeration Date5/31/2005Last Updated8/22/2020Contact InformationPractice LocationPractice Address4000 W 76th St, Ste 160, Edina, MN 55435-5104Phone(952) 853-7226Fax(952) 831-7555Mailing LocationMailing Address4000 W 76th St, Ste 160, Edina, MN 55435-5104Phone(952) 853-7226Fax(952) 831-7555Authorized OfficialNameSnyder, Gregory Bruce (Ceo)Phone(952) 853-7226Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense1643Minnesota