1. Home
  2. Directory
  3. Minnesota
  4. Apple Valley
  5. Clinic Center
  6. NPI Profile

SPECTRUM DEVELOPMENT CENTER SERVICE CORPORATION
NPI 1134936230
Clinic/Center in Apple Valley, MN

Active since December 12, 2024
14540 PENNOCK AVE STE 102, APPLE VALLEY, MN 55124(612) 366-4807 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spectrum Development Center Service Corporation NPPES

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

SPECTRUM DEVELOPMENT CENTER SERVICE CORPORATION (NPI 1134936230) is a healthcare organization registered as a clinic/center in Apple Valley, Minnesota and active in the NPI registry since December 2024. The organization lists Ahmedkhadar Warsame, Owner, as its authorized official.

NPPES Registry Identity

NPI1134936230
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSPECTRUM DEVELOPMENT CENTER SERVICE CORPORATION
Location Address14540 PENNOCK AVE STE 102Apple Valley, MN 55124-7443
Mailing Address14540 Pennock Ave Ste 102Apple Valley, MN 55124-7443
Phone(612) 366-4807
Organization SubpartNo
Authorized OfficialAhmedkhadar WarsameOwner · (612) 366-4807
Enumeration DateDecember 12, 2024
NPPES CertifiedDecember 12, 2024
✔ NPI 1134936230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
14540 PENNOCK AVE STE 102, Apple Valley, MN 55124
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spectrum Development Center Service Corporation's NPI number?

The NPI number for Spectrum Development Center Service Corporation is 1134936230. It was assigned to this organization in the NPPES registry on December 12, 2024.

Where is Spectrum Development Center Service Corporation located?

Spectrum Development Center Service Corporation is located at 14540 Pennock Ave Ste 102, Apple Valley, MN 55124. The listed phone number is (612) 366-4807.

What is Spectrum Development Center Service Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Spectrum Development Center Service Corporation was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.