Organization Active NPI

Neurology LTD.

  • Clinical Medical Laboratory
  • Minneapolis, MN
National Provider Identifier
1083031439
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
15228 Issued in MN
Legal business name
NEUROLOGY LTD.
Practice address
420 Delaware Street SE
Minneapolis, MN 55455-0377
Phone
(612) 625-1431
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William R Kennedy
Title
Sole Proprietor
Phone
(612) 625-1431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 15228 MN Primary

Addresses

Primary practice location

420 Delaware Street SE
Minneapolis, MN 55455-0377

Mailing address

2259 Summit Avenue
St. Paul, MN 55105

National Provider Directory

National Provider Directory

Locations

500 N Wall St
Ste 300
Kankakee, IL 60901
Phone (815) 932-2020

420 Delaware St SE
#173
Minneapolis, MN 55455
Phone (612) 625-1431

420 Delaware St SE
#187
Minneapolis, MN 55455
Phone (612) 625-1431

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1083031439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2259 SUMMIT AVENUE",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 DELAWARE STREET SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554550377",
            "telephone_number": "612-625-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "612-625-1431",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "15228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.