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UNIVERSITY OF MINNESOTA NPI 1972864742


NPI Information

NPI: 1972864742
Provider Name: UNIVERSITY OF MINNESOTA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 24D0927621

Address:
420 DELAWARE ST SE
MMC 295
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-2499
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UNIVERSITY OF MINNESOTA is a medical specialty clinic center in Minneapolis, MN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). UNIVERSITY OF MINNESOTA NPI is 1972864742. The provider is registered as an organization entity type.

The provider's business location address is:

420 DELAWARE ST SE
MMC 295
MINNEAPOLIS, MN
ZIP 55455-001
Phone: (612) 626-2499
Fax: (612) 625-8488

The provider's authorized official is Peter Isaak Karachunski .
The authorized official title is Assistant Professor and has the following contact phone number (612) 626-2499.

The CLIA number assigned to this NPI record is 24D0927621 - other - laboratory in academic ce with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 6/7/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty47339MINNESOTAYes

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

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