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PAIN CENTERS OF MINNESOTA - FRIDLEY, LLC
NPI 1194105841
Clinic/Center - Ambulatory Surgical in Fridley, MN

Active since June 08, 2015CLIA 24D2107333 · Waiver
480 OSBORNE RD NE, SUITE 260, FRIDLEY, MN 55432(763) 537-6000(763) 537-6666 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pain Centers Of Minnesota - Fridley, Llc NPPES

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

PAIN CENTERS OF MINNESOTA - FRIDLEY, LLC (NPI 1194105841) is a healthcare organization registered as an ambulatory surgical in Fridley, Minnesota and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through January 11, 2028 and lists Vishal Lal, Ceo, as its authorized official.

NPPES Registry Identity

NPI1194105841
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePAIN CENTERS OF MINNESOTA - FRIDLEY, LLC
Location Address480 OSBORNE RD NE, SUITE 260Fridley, MN 55432-2773
Mailing Address4131 W Loomis Rd, Suite 300Greenfield, WI 53221-2057 · (414) 325-7246 · Fax (414) 325-3770
Phone(763) 537-6000
Fax(763) 537-6666
Organization SubpartYesParent: Apm Minnesota Mso, Llc
Authorized OfficialVishal LalCeo · (414) 325-7246
Enumeration DateJune 8, 2015
✔ NPI 1194105841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
480 OSBORNE RD NE, Fridley, MN 55432
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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 24D2107333

Pain Centers Of Minnesota - Chaska · Chaska, MN
Active · expires Jan 11, 2028
CLIA Number24D2107333
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 12, 2026
Certificate Expiration DateJanuary 11, 2028
Laboratory DirectorRano Faltas
Laboratory Phone(763) 537-6000
Laboratory LocationPain Centers Of Minnesota - Chaska3000 Hundertmark Road Suite 200, Chaska, MN 55318
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

MARY KATHLEEN ANDERSON PA-C
Physician Assistant
480 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 785-4500
MADISON NICOLE BESTLER PA-C
Physician Assistant
480 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 581-0600
DR. PATRICK DAVID CARLSON D.P.T
Physical Therapist
480 OSBORNE RD NE, #280
FRIDLEY, MN 55432
Anoka County (763) 784-3155
MICHELE ANDERSON PMHNP-BC
Nurse Practitioner
480 OSBORNE RD NE, STE 260
MINNEAPOLIS, MN 55432
Anoka County (763) 236-3800
CHRISTINA LOUISE ANN HER OTR/L
Occupational Therapist
480 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-5656
PATRICIA R STEFFEN MD
Psychiatry & Neurology (Psychiatry)
480 OSBORNE RD NE, STE 260
FRIDLEY, MN 55432
Anoka County (763) 236-3800
VANESSA MARIE HEIT LICSW, CPRP
Social Worker (Clinical)
480 OSBORNE RD NE
FRIDLEY, MN 55432
Anoka County (763) 236-3800
MULTICARE ASSOCIATES OF THE TWIN CITIES,PA
Family Medicine
480 OSBORNE RD NE, SUITE 100
FRIDLEY, MN 55432
Anoka County (763) 785-4500

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 Pain Centers Of Minnesota - Fridley, LLC's NPI number?

The NPI number for Pain Centers Of Minnesota - Fridley, LLC is 1194105841. It was assigned to this organization in the NPPES registry on June 8, 2015.

Where is Pain Centers Of Minnesota - Fridley, LLC located?

Pain Centers Of Minnesota - Fridley, LLC is located at 480 Osborne Rd NE Suite 260, Fridley, MN 55432. The listed phone number is (763) 537-6000.

What is Pain Centers Of Minnesota - Fridley, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Pain Centers Of Minnesota - Fridley, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2107333) is associated with this NPI, valid through January 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pain Centers Of Minnesota - Fridley, LLC was last updated on June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.