NPIMap

Organization Active NPI

Health Rapid Lab LLC

  • Clinical Medical Laboratory
  • Eagan, MN
National Provider Identifier
1205506490
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HEALTH RAPID LAB LLC
Practice address
3435 Washington Dr Ste 207
Eagan, MN 55122-1339
Phone
(612) 250-3237
NPI assigned
Sep 17, 2021
Last updated
Sep 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Authorized official

Name
Mahamud Mahamed
Title
Manager
Phone
(612) 250-3237

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Public Health or Welfare Agency 251K00000X NU
Health Service Clinic/Center 261QH0100X NU
Migrant Health Clinic/Center 261QM1000X NU
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

3435 Washington Dr Ste 207
Eagan, MN 55122-1339

Mailing address

3435 Washington Dr Ste 207
Eagan, MN 55122-1339
Phone (612) 250-3237

Other identifiers 1

IdentifierTypeStateIssuer
24D2236507OtherMNCLIA CERTIFICATE IDENTIFICATION NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1205506490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 WASHINGTON DR STE 207",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221339",
            "telephone_number": "612-250-3237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 WASHINGTON DR STE 207",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221339",
            "telephone_number": "612-250-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH RAPID LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "MAHAMED",
        "authorized_official_first_name": "MAHAMUD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-250-3237"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE IDENTIFICATION NUMBER",
            "identifier": "24D2236507",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.