Active NPI
In-Home Lab Connection Inc.
- Home Health Agency
- Eagan, MN
National Provider Identifier
1215046305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 352213
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Community Health Clinic/Center
- Edina, MN
- NPI 1093942195
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.