Organization Active NPI

Zel Skin & Laser Specialists, LLC

  • Ambulatory Surgical Clinic/Center
  • Edina, MN
National Provider Identifier
1629175617
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
HFID24276 Issued in MN
Legal business name
ZEL SKIN & LASER SPECIALISTS, LLC
Practice address
4100 W 50TH St
Edina, MN 55424-1200
Phone
(952) 929-8888
Fax
(952) 929-9669
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Authorized official

Name
Mrs. Susan L. Olson, R.N.
Title
Director
Phone
(952) 746-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X HFID24276 MN Primary

Addresses

Primary practice location

4100 W 50TH St
Edina, MN 55424-1200

Mailing address

4100 W 50TH St
Edina, MN 55424-1200
Phone (952) 929-8888

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2131337Zel Skin and Laser Specialists4100 West 50TH Street, Edina, MN 55424Provider-performed microscopyJun 3, 2027

National Provider Directory

National Provider Directory

Locations

4100 W 50th St
Minneapolis, MN 55424
Phone (952) 929-8888

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1629175617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 50TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241200",
            "telephone_number": "952-929-8888",
            "fax_number": "952-929-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 50TH ST",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554241200",
            "telephone_number": "952-929-8888",
            "fax_number": "952-929-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEL SKIN & LASER SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "952-746-1018",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MN",
            "license": "HFID24276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.