NPIMap

Organization Active NPI

Neopath

  • Primary Care Clinic/Center
  • Fridley, MN
National Provider Identifier
1407389364
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NEOPATH
Practice address
5130 Main St NE
Fridley, MN 55421-1528
Phone
(612) 216-1471
Fax
(833) 972-1587
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Alethea Anderson
Title
Care Operations Manager
Phone
(952) 698-9860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

5130 Main St NE
Fridley, MN 55421-1528

Mailing address

5130 Main St NE
Fridley, MN 55421-1528

National Provider Directory

National Provider Directory
Tax ID family
Piic Clinical Services8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5130 Main St NE
Fridley, MN 55421
Phone (612) 216-1471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1407389364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 MAIN ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554211528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 MAIN ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554211528",
            "telephone_number": "612-216-1471",
            "fax_number": "833-972-1587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOPATH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALETHEA",
        "authorized_official_title_or_position": "CARE OPERATIONS MANAGER",
        "authorized_official_telephone_number": "952-698-9860"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.