Active NPI
Veronica Moore
- Clinical Laboratory Director (Non-physician)
- Woodbury, MN
National Provider Identifier
1588404255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Laboratory Director (Non-physician)
- Practice address
- 724 Bielenberg Dr Ste 78
Woodbury, MN 55125-2620 - Phone
- (612) 444-2535
- NPI assigned
- May 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Laboratory Director (Non-physician) | 247ZC0005X | Primary |
Addresses
Primary practice location
724 Bielenberg Dr Ste 78
Woodbury, MN 55125-2620
Mailing address
724 Bielenberg Dr Ste 78
Woodbury, MN 55125-2620
Phone (612) 444-2535
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716940800000",
"number": "1588404255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 BIELENBERG DR STE 78",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252620",
"telephone_number": "612-444-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 BIELENBERG DR STE 78",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252620",
"telephone_number": "612-444-2535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "VERONICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "247ZC0005X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.