Derheim, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DERHEIM, INC

Doing business as

Healthcare Empowered

Practice address

590 Park St
Suite 310
Saint Paul, MN 55103-1846

Phone

(888) 454-2112

Fax

(612) 564-4906

NPI assigned

Jun 25, 2014

Organization subpart

No

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

Authorized official

Name

Troy Derheim

Title

Owner

Phone

(888) 454-2212

Specialties & licenses 1

Addresses

Other names 1

• Healthcare Empowered Doing business as

Locations

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1699180968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 MAIN AVE",
            "address_2": "SUITE A",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581031186",
            "telephone_number": "888-454-2112",
            "fax_number": "612-564-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 PARK ST",
            "address_2": "SUITE 310",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031846",
            "telephone_number": "888-454-2112",
            "fax_number": "612-564-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERHEIM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "DERHEIM",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-454-2212"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthcare Empowered",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.