Active NPI
Children'S Health Care
- Clinical Medical Laboratory
- Minneapolis, MN
National Provider Identifier
1275936262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CHILDREN'S HEALTH CARE
- Practice address
- 2525 Chicago Avenue South
Minneapolis, MN 55404-4518 - Phone
- (612) 813-6000
- NPI assigned
- Oct 3, 2014
- 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
- Todd Raymond Ostendorf
- Title
- Chief Financial Officer
- Phone
- (612) 813-6129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2525 Chicago Avenue South
Minneapolis, MN 55404-4518
Mailing address
5901 Lincoln Drive, CBC-2-Rev/Pe
Edina, MN 55436-1611
Phone (952) 992-5398
Other names 1
- Children's Hospitals and Clinics of Minnesota
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D0401390 | Children'S Hospitals & Clinics of Minnesota | Accreditation | Feb 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Childrens Health Care
Other organizations with this tax ID 27
Organizations that report the same tax identification number in the National Provider Directory.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1667174400000",
"number": "1275936262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 LINCOLN DRIVE, CBC-2-REV/PE",
"city": "EDINA",
"state": "MN",
"postal_code": "554361611",
"telephone_number": "952-992-5398",
"fax_number": "952-992-6917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 CHICAGO AVENUE SOUTH",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554044518",
"telephone_number": "612-813-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-03",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A",
"authorized_official_last_name": "OSTENDORF",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "RAYMOND",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "612-813-6129"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Hospitals and Clinics of Minnesota",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Children's Hospitals and Clinics of Minnesota",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.