LUMORA SUPPORT LLC NPI 1407737943

NPI Information

  • NPI: 1407737943
  • Provider Name: LUMORA SUPPORT, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 8051 33RD AVE S UNIT 547
    BLOOMINGTON, MN
    ZIP 55425
  • Phone: (612) 876-5324

Map and Directions

Get Directions

NPI Details

LUMORA SUPPORT, LLC is a clinic center in Bloomington, MN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LUMORA SUPPORT, LLC NPI is 1407737943. The provider is registered as an organization entity type.

The provider's business location address is:

8051 33RD AVE S UNIT 547
BLOOMINGTON, MN
ZIP 55425-015
Phone: (612) 876-5324

The provider's authorized official is Anas Abdiqani Osman .
The authorized official title is Owner and has the following contact phone number (612) 876-5324.

The enumeration date for this NPI number is 9/10/2025 and was last updated on 9/10/2025.

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
1261Q00000XClinic/CenterYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI