OrganizationActive
Maxillofacial Imaging LLC
NPI 1679732119 · Radiology Clinic/Center · Maple Grove, MN
Provider details
- NPI number
- 1679732119
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jane Roach, Manager(763) 420-0070
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
13998 Maple Knoll Way
Maple Grove Professional Bld Suite Ll105
Maple Grove, MN 55369-7004
Phone: (763) 420-0070
Street-level locationGet directions
Mailing address
13998 Maple Knoll Way
Maple Grove, MN 55369-7004
Other names (DBA / former)
- Doing business as
- Advanced Head & Neck Imaging
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2008-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.