Organization Active NPI

In-Home Lab Connection Inc.

  • Home Health Agency
  • Eagan, MN
National Provider Identifier
1215046305
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
352213 Issued in MN
Legal business name
IN-HOME LAB CONNECTION INC.
Practice address
4064 Olivine Dr
Eagan, MN 55122-2911
Phone
(952) 842-9000
Fax
(952) 842-9001
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Authorized official

Name
John Robert Valusek
Title
Ceo
Phone
(952) 842-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 352213 MN Primary

Addresses

Primary practice location

4064 Olivine Dr
Eagan, MN 55122-2911

Mailing address

4064 Olivine Dr
Eagan, MN 55122-2911
Phone (952) 842-9000

National Provider Directory

National Provider Directory

Locations

4570 77th St W
#165
Edina, MN 55435
Phone (952) 842-9000

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568851200000",
    "number": "1215046305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 OLIVINE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222911",
            "telephone_number": "952-842-9000",
            "fax_number": "952-842-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 OLIVINE DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222911",
            "telephone_number": "952-842-9000",
            "fax_number": "952-842-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME LAB CONNECTION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2019-09-19",
        "status": "A",
        "authorized_official_last_name": "VALUSEK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-842-9000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "352213",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2019; 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.