Active NPI
Fertility Lab Sciences of Minneapolis, LLC
- Clinical Medical Laboratory
- Edina, MN
National Provider Identifier
1942013602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- FERTILITY LAB SCIENCES OF MINNEAPOLIS, LLC
- Practice address
- 6565 France Ave S Ste 400
Edina, MN 55435-2137 - Phone
- (952) 225-1630
- NPI assigned
- Jan 28, 2025
- 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
- Matt Tyson
- Title
- Director, Managed Care Contracting
- Phone
- (615) 477-6677
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
6565 France Ave S Ste 400
Edina, MN 55435-2137
Mailing address
6565 France Ave S Ste 400
Edina, MN 55435-2141
Phone (952) 225-1630
Other names 1
- Fertility Lab Sciences of Minneapolis
National Provider Directory
National Provider Directory- Tax ID family
- Fertility Lab Sciences of Minneapolis
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Edina, MN
- NPI 1154718070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783900800000",
"number": "1942013602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 FRANCE AVE S STE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "554352141",
"telephone_number": "952-225-1630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 FRANCE AVE S STE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "554352137",
"telephone_number": "952-225-1630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERTILITY LAB SCIENCES OF MINNEAPOLIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-28",
"last_updated": "2026-07-13",
"certification_date": "2026-07-13",
"status": "A",
"authorized_official_last_name": "TYSON",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "DIRECTOR, MANAGED CARE CONTRACTING",
"authorized_official_telephone_number": "615-477-6677"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Fertility Lab Sciences of Minneapolis",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.