Active NPI
Oneome Holdings LLC
- Clinical Medical Laboratory
- Minneapolis, MN
National Provider Identifier
1669836227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 24D2109855
- Legal business name
- ONEOME HOLDINGS LLC
- Practice address
- 807 Broadway St NE Ste 100
Minneapolis, MN 55413-4401 - Phone
- (844) 663-6635
- Fax
- (833) 962-6158
- NPI assigned
- Apr 11, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Alan McIntyre
- Title
- Ceo
- Phone
- (844) 663-6635
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 24D2109855 | MN | Primary |
Addresses
Primary practice location
807 Broadway St NE Ste 100
Minneapolis, MN 55413-4401
Mailing address
PO Box 856019
Minneapolis, MN 55485-6019
Phone (844) 663-6635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170727000321 | MN | Part B Supplier - Independent Clinical Laboratory | 6406126275 | Practice locations: Minneapolis, MN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2109855 | Oneome, LLC | Accreditation | Oct 25, 2026 |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Decorah, IA
- NPI 1275313876
Member Of
Locations
807 Broadway St NE
Ste 100
Minneapolis, MN 55413
Phone (844) 663-6635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1669836227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 856019",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554856019",
"telephone_number": "844-663-6635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 BROADWAY ST NE STE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554134401",
"telephone_number": "844-663-6635",
"fax_number": "833-962-6158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONEOME HOLDINGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-11",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "MCINTYRE",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "844-663-6635"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MN",
"license": "24D2109855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.