Organization Active NPI

Amnis Spectrum Pathways LLC

  • Clinic/Center
  • Saint Paul, MN
National Provider Identifier
1104650472
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
AMNIS SPECTRUM PATHWAYS LLC
Practice address
2136 Ford Pkwy # 9190
Saint Paul, MN 55116-2850
Phone
(952) 457-4751
NPI assigned
Aug 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Authorized official

Name
Abdirashid Mohamed
Title
Ceo
Phone
(952) 457-4751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2136 Ford Pkwy # 9190
Saint Paul, MN 55116-2850

Mailing address

2136 Ford Pkwy # 9190
Saint Paul, MN 55116-2850

National Provider Directory

National Provider Directory

Locations

2136 Ford Pkwy
#9190
Saint Paul, MN 55116
Phone (952) 457-4751

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1104650472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 9190",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 9190",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "952-457-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMNIS SPECTRUM PATHWAYS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIRASHID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-457-4751"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.