Celleration Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4865891 Issued in MN

Legal business name

CELLERATION INC

Practice address

6321 Bury Drive Suite 15
Celleration, Inc
Eden Prairie, MN 55346

Phone

(952) 224-8700

Fax

(952) 224-8750

NPI assigned

Sep 14, 2006

Last updated

Dec 8, 2010By 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

Mr. Mark T Wagner

Title

President & Ceo

Phone

(952) 224-8700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1891891438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 BURY DRIVE SUITE 15",
            "address_2": "CELLERATION, INC",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55346",
            "telephone_number": "952-224-8700",
            "fax_number": "952-224-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 BURY DRIVE SUITE 15",
            "address_2": "CELLERATION, INC",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "55346",
            "telephone_number": "952-224-8700",
            "fax_number": "952-224-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELLERATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "952-224-8700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "4865891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.