SUSTAINABLE RESOURCES CENTER INC NPI 1386811537

NPI Information

NPI: 1386811537
Provider Name: SUSTAINABLE RESOURCES CENTER INC
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

CLIA Number: 24D2037421

Address:
1081 10TH AVE SE
MINNEAPOLIS, MN
ZIP 55414
Phone: (612) 870-4255
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SUSTAINABLE RESOURCES CENTER INC is a voluntary or charitable in Minneapolis, MN. SUSTAINABLE RESOURCES CENTER INC NPI is 1386811537. The provider is registered as an organization entity type.

The provider's business location address is:

1081 10TH AVE SE
MINNEAPOLIS, MN
ZIP 55414-312
Phone: (612) 870-4255
Fax: (612) 870-0729

The provider's authorized official is Dan A Newman .
The authorized official title is Executive Director and has the following contact phone number (612) 870-4255.

The CLIA number assigned to this NPI record is 24D2037421 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251V00000X	Voluntary or Charitable				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D82086	MEDICARE UPIN	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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