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THE GOOD CLINIC
NPI 1003423252
Clinic/Center - Primary Care in St Louis Park, MN

Active since September 30, 2020CLIA 24D2230068 · Waiver
4712 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416(844) 383-8689 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2022, Jul 20, 2021, Jul 15, 2021 and 1 more (4 updates tracked since 2020).

About The Good Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE GOOD CLINIC (NPI 1003423252) is a healthcare organization registered as a primary care in St Louis Park, Minnesota and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through July 19, 2027, maintains 5 additional practice locations, and lists Kevin Lee Smith, Chief Nurse Practitioner Officer, as its authorized official.

NPPES Registry Identity

NPI1003423252
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGOOD CLINIC MN PLLC
Location Address4712 EXCELSIOR BLVDSt Louis Park, MN 55416-3008
Mailing Address1660 Highway 100 S Ste 432St Louis Park, MN 55416-1533
Phone(844) 383-8689
Organization SubpartNo
Authorized OfficialKevin Lee SmithChief Nurse Practitioner Officer · (763) 639-5327
Enumeration DateSeptember 30, 2020
Last NPPES UpdateJanuary 14, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2022
✔ NPI 1003423252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
4712 EXCELSIOR BLVD, St Louis Park, MN 55416
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Other Names 1

Doing Business AsThe Good Clinic

Secondary Practice Locations 5

Location 1307 1ST AVE NEMINNEAPOLIS, MN 55413-5001 · Phone (763) 639-5327
Location 212900 Technology Dr Ste 140Eden Prairie, MN 55344-2638 · Phone (844) 383-8689 ext. 704
Location 3246 Snelling Ave S Ste 1Saint Paul, MN 55105-2019 · Phone (651) 650-0300 · Fax (651) 650-0301
Location 47881 Main St N Ste 538Maple Grove, MN 55369-7082 · Phone (651) 650-0400 · Fax (651) 650-0401
Location 5845 Vikings Pkwy Ste BEagan, MN 55121-1002 · Phone (651) 650-0500 · Fax (651) 650-0501

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2230068

Good Clinic Mn PLLC · Eden Prairie, MN
Active · expires Jul 19, 2027
CLIA Number24D2230068
Laboratory TypePractitioner Other
Certificate Effective DateJuly 20, 2025
Certificate Expiration DateJuly 19, 2027
Laboratory DirectorKevin L. Smith
Laboratory Phone(763) 639-5327
Laboratory LocationGood Clinic Mn PLLC12900 Technology Dr, Eden Prairie, MN 55344
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEEN MEDICAL GROUP OF MN, PC
Internal Medicine
4712 EXCELSIOR BLVD
ST LOUIS PARK, MN 55416
Hennepin County (339) 793-8998

Frequently Asked Questions

What is GOOD CLINIC MN PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1003423252, enumerated as an "organization" on September 30, 2020.

Where is the provider located?

The provider is located at 4712 EXCELSIOR BLVD ST LOUIS PARK, MN 55416 and the phone number is (844) 383-8689.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.