Organization Active NPI

Lazuli Services LLC

  • Case Management Agency
  • Bloomington, MN
National Provider Identifier
1316675762
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
LAZULI SERVICES LLC
Practice address
671 American Blvd E Apt 7
Bloomington, MN 55420-1385
Phone
(651) 347-0043
Fax
(651) 846-5580
NPI assigned
Aug 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Authorized official

Name
Fadumo Bashir Abdisalan
Title
Owner
Phone
(651) 347-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

671 American Blvd E Apt 7
Bloomington, MN 55420-1385

Mailing address

671 American Blvd E Apt 7
Bloomington, MN 55420-1385
Phone (651) 347-0043

Other names 1

  • Lazuli Services LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660521600000",
    "number": "1316675762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 AMERICAN BLVD E APT 7",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201385",
            "telephone_number": "651-347-0043",
            "fax_number": "651-846-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "671 AMERICAN BLVD E APT 7",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554201385",
            "telephone_number": "651-347-0043",
            "fax_number": "651-846-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZULI SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A",
        "authorized_official_last_name": "ABDISALAN",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_middle_name": "BASHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-347-0043"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lazuli Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.