Cdi Fairview Eden Prairie LLC
NPI 1679512172 · Diagnostic Radiology Physician · Eden Prairie, MN
Cdi Fairview Eden Prairie LLC is a Diagnostic Radiology Physician organization in Eden Prairie, MN (NPI 1679512172).
Provider details
- NPI number
- 1679512172
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Jacobsen, Officer on the Board Secretary(952) 543-6500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Center for Diagnostic Imaging
Registry dates
- Enumerated
- 2006-06-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Cdi Fairview Eden Prairie LLC's NPI number?
- Cdi Fairview Eden Prairie LLC's National Provider Identifier (NPI) is 1679512172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cdi Fairview Eden Prairie LLC?
- Cdi Fairview Eden Prairie LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Cdi Fairview Eden Prairie LLC located?
- Cdi Fairview Eden Prairie LLC's practice location on file with NPPES is 775 Prairie Center Dr, Eden Prairie, MN 55344-7314.
- What is Cdi Fairview Eden Prairie LLC's phone number?
- The practice phone number listed in the NPPES registry for Cdi Fairview Eden Prairie LLC is (952) 345-3805.
- Who is the authorized official for Cdi Fairview Eden Prairie LLC?
- The authorized official listed on Cdi Fairview Eden Prairie LLC's NPPES record is Donald Jacobsen, Officer on the Board Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cdi Fairview Eden Prairie LLC's NPI active?
- Yes — Cdi Fairview Eden Prairie LLC's NPI (1679512172) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.