Axis Clinicals, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

AXIS CLINICALS, LLC

Practice address

1711 Center Ave W
Dilworth, MN 56529-1342

Phone

(218) 284-2950

NPI assigned

Nov 17, 2017

Last updated

Nov 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ardeshir Khadang

Title

Vice President, Bioanalytical Op

Phone

(218) 284-2950

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1245744945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 CENTER AVE W",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291342",
            "telephone_number": "218-284-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 CENTER AVE W",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291342",
            "telephone_number": "218-284-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AXIS CLINICALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "KHADANG",
        "authorized_official_first_name": "ARDESHIR",
        "authorized_official_title_or_position": "VICE PRESIDENT, BIOANALYTICAL OP",
        "authorized_official_telephone_number": "218-284-2950"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Dilworth, MN
• Providers in Dilworth, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.