St. Paul Capital Area Irts LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ST. PAUL CAPITAL AREA IRTS LLC

Practice address

615 Park St
Saint Paul, MN 55103-1826

Phone

(612) 470-6531

NPI assigned

Dec 11, 2024

Last updated

Dec 11, 2024By 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

Bibi Abdalla

Title

Owner

Phone

(612) 470-6531

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1952118127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PARK ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PARK ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031826",
            "telephone_number": "612-470-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL CAPITAL AREA IRTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "BIBI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-470-6531"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.