Lifescan Minnesota LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

LIFESCAN MINNESOTA LLC

Practice address

3955 Parklawn Ave
Ste 110
Edina, MN 55435-5657

Phone

(952) 893-1997

Fax

(952) 893-0088

NPI assigned

May 23, 2005

Last updated

Jun 12, 2008By 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

Mrs. Michelle Douglas

Title

Credentialing Manager

Phone

(502) 403-1401

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey Lukens, M.D.

  • Diagnostic Radiology Physician
  • Bloomington, MN
  • NPI 1922039338
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1396748307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PARKLAWN AVE",
            "address_2": "STE 110",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355657",
            "telephone_number": "952-893-1997",
            "fax_number": "952-893-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 PARKLAWN AVE",
            "address_2": "STE 110",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355657",
            "telephone_number": "952-893-1997",
            "fax_number": "952-893-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESCAN MINNESOTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "502-403-1401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9146652-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Liddle, SLP
• Lawrence S. Liebman, M.D.
• Abigail Catherine Liegl, PA C
• Theresa Hinnenkamp Lienau, PSYD, LP
• Lifeline Health Services LLC
• Dara Cindy Lifschutz, MD
• Naomi Light, M.D.
• Lil Schroeder Physical Therapy
• Krista Jean Lill, DDS
• Jens Jacob Lillevold, M.D.

• Radiology Clinic/Center in Edina, MN
• Providers in Edina, MN by specialty
• Radiology Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.