MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER
NPI 1033565510
Clinic/Center - Medical Specialty in Edina, MN
NPI Status: Active since May 13, 2016
Contact Information
4444 76 ST
#700
EDINA, MN
ZIP 55435
Phone: (612) 888-1433
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 24D2001654
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-27-2025
About MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER
This page provides the complete NPI Profile along with additional information for Minnesota Disc Replacement And Spine Restoration Center, a provider established in Edina, Minnesota operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1033565510 assigned on May 2016. The practitioner's primary taxonomy code is 261QM2500X with license number 50690 (MN). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Lynn M Miller D.o. (President)
- NPI
- 1033565510
- Provider Name
- MINNESOTA DISC REPLACEMENT AND SPINE RESTORATION CENTER
- Entity Type
- Organization
- Location Address
- 4444 76 ST #700 EDINA, MN 55435
- Location Phone
- (612) 888-1433
- Mailing Address
- 6 RED FOREST LN NORTH OAKS, MN 55127
- Mailing Phone
- (612) 888-1433
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-13-2016
- Last Update Date
- 05-13-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- 50690
- License State
- MN
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2001654
- Facility Type
- Physician Office
- Certificate Effective Date
- December 28, 2023
- Certificate Expiration Date
- December 27, 2025
- Laboratory Director
- SUSAN MACKINNON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Minnesota Disc Replacement And Spine Restoration Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 5 | 6 | 5 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 10 | 6 | 10 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 1 + 0 + 6 + 1 + 0 + 5 + 2 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1033565510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033565510, enumerated as an "organization" on May 13, 2016.
The provider is located at 4444 76 ST #700 EDINA, MN 55435 and the phone number is (612) 888-1433.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
