Infertility Lab and Surgery Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

31216 Issued in MN

Legal business name

INFERTILITY LAB AND SURGERY CENTER

Practice address

2101 Woodwinds Dr Ste 100
Woodbury, MN 55125-2526

Phone

(651) 222-6050

NPI assigned

Jul 11, 2007

Last updated

Jul 11, 2007By 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

Dr. Jacques StassartNPI 1043296742

Title

Ceo

Phone

(651) 222-6050

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.

• Jacques P Stassart

  • Specialist
  • Woodbury, MN
  • NPI 1043296742
  Authorized official Same address or phone

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1487852489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WOODWINDS DR STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252526",
            "telephone_number": "651-222-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WOODWINDS DR STE 100",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252526",
            "telephone_number": "651-222-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFERTILITY LAB AND SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "STASSART",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-222-6050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "31216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "31216",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Melissa Irisarri

• Specialist in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.