SUMMIT ORTHOPEDICS, LTD
NPI 1063176386
Clinic/Center - Magnetic Resonance Imaging (MRI) in Lakeville, MN

Q: What is Summit Orthopedics, Ltd's NPI number?

The NPI number for Summit Orthopedics, Ltd is 1063176386. It was assigned to this organization in the NPPES registry on October 22, 2021.

Q: What is Summit Orthopedics, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

Active since October 22, 2021CLIA Certified · 2 labs

17210 KENYON AVE, LAKEVILLE, MN 55044(651) 968-5201 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 10, 2025, Mar 3, 2023, Oct 22, 2021 (3 updates tracked since 2021).

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About Summit Orthopedics, Ltd NPPES

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

SUMMIT ORTHOPEDICS, LTD (NPI 1063176386) is a healthcare organization registered as a magnetic resonance imaging (mri) in Lakeville, Minnesota and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists John Bien, Cfo, as its authorized official.

NPPES Registry Identity

NPI1063176386

Entity TypeOrganization

Primary Taxonomy261QM1200X

Legal Business NameSUMMIT ORTHOPEDICS, LTD

Location Address17210 KENYON AVELakeville, MN 55044

Mailing Address710 Commerce Dr Ste 200Woodbury, MN 55125-4925 · (651) 968-5200 · Fax (651) 968-5904

Phone(651) 968-5201

Organization SubpartNo

Authorized OfficialJohn BienCfo · (651) 968-5870

Enumeration DateOctober 22, 2021

Last NPPES UpdateJune 10, 20253 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1063176386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities

Taxonomy Code261QM1200X

17210 KENYON AVE, Lakeville, MN 55044

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CLIA Laboratory Certificates CMS CLIA 2

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 24D2239094

Summit Orthopedics, Ltd · Lakeville, MN

Active · expires Oct 7, 2027

CLIA Number24D2239094

Laboratory TypePhysician Office

Certificate Effective DateOctober 8, 2025

Certificate Expiration DateOctober 7, 2027

Laboratory DirectorBeckie Hines

Laboratory Phone(651) 968-5201

Laboratory LocationSummit Orthopedics, Ltd17210 Kenyon Ave, Lakeville, MN 55044

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2228789

Summit Orthopedics, Ltd Plymouth Clinic · Plymouth, MN

Active · expires Jun 30, 2027

CLIA Number24D2228789

Laboratory TypePhysician Office

Certificate Effective DateJuly 1, 2025

Certificate Expiration DateJune 30, 2027

Laboratory DirectorBeckie Hines

Laboratory Phone(651) 968-5201

Laboratory LocationSummit Orthopedics, Ltd Plymouth Clinic6050 Sycamore Lane N, Plymouth, MN 55446

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

MICHAEL BRUCE MEIER PA-C

Physician Assistant (Surgical)