Organization Active NPI

Lumera Health Services LLC

  • Clinic/Center
  • Roseville, MN
National Provider Identifier
1366249674
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LUMERA HEALTH SERVICES LLC
Practice address
2233 Hamline Ave N Ste 410
Roseville, MN 55113-5006
Phone
(612) 237-2353
NPI assigned
Feb 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Abdiaziz Hassan
Title
Owner
Phone
(612) 237-2353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2233 Hamline Ave N Ste 410
Roseville, MN 55113-5006

Mailing address

2233 Hamline Ave N
Roseville, MN 55113-5009

National Provider Directory

National Provider Directory

Locations

2233 Hamline Ave N
Ste 410
Roseville, MN 55113
Phone (612) 237-2353

2233 Hamline Ave N
Saint Paul, MN 55113
Phone (651) 330-6205

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1366249674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 HAMLINE AVE N STE 410",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551135006",
            "telephone_number": "612-237-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMERA HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-237-2353"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.