Organization Active NPI

Fertility Lab Sciences of Minneapolis, LLC

  • Ambulatory Surgical Clinic/Center
  • Edina, MN
National Provider Identifier
1154718070
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
FERTILITY LAB SCIENCES OF MINNEAPOLIS, LLC
Practice address
6565 France Avenue South
Edina, MN 55435
Phone
(720) 205-4698
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Matt Tyson
Title
Director, Managed Care Contracting
Phone
(615) 477-6677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

6565 France Avenue South
Edina, MN 55435

Mailing address

6565 France Ave S Ste 400
Edina, MN 55435-2141
Phone (952) 225-1630

National Provider Directory

National Provider Directory
Tax ID family
Fertility Lab Sciences of Minneapolis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6565 France Ave S
Edina, MN 55435
Phone (720) 205-4698

6565 France Ave S
Ste 400
Edina, MN 55435
Phone (952) 225-1630

6565 France Ave S
Ste 400B
Minneapolis, MN 55435

NPI Registry JSON

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1154718070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVE S STE 400",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352141",
            "telephone_number": "952-225-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 FRANCE AVENUE SOUTH",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "55435",
            "telephone_number": "720-205-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERTILITY LAB SCIENCES OF MINNEAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
        "authorized_official_telephone_number": "615-477-6677"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.