NPIMap

Organization Active NPI

Metro Clinical Laboratory, LLC

  • Clinical Medical Laboratory
  • Minneapolis, MN
National Provider Identifier
1972957264
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
851814900038 Issued in MN
Legal business name
METRO CLINICAL LABORATORY, LLC
Practice address
312 W Lake St
Minneapolis, MN 55408-4898
Phone
(612) 222-7990
Fax
(612) 886-9481
NPI assigned
Apr 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Abdinasir Ahmed
Title
President
Phone
61222279904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 851814900038 MN Primary

Addresses

Primary practice location

312 W Lake St
Minneapolis, MN 55408-4898

Mailing address

P.O Box 80502
Minneapolis, MN 55408

National Provider Directory

National Provider Directory
Tax ID family
Clinical Lab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

312 W Lake St
Minneapolis, MN 55408
Phone (612) 222-7990

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1972957264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 80502",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W LAKE ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084898",
            "telephone_number": "612-222-7990",
            "fax_number": "612-886-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO CLINICAL LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDINASIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "61222279904"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "851814900038",
            "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 Apr 22, 2016; 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.