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ODAM COMMUNITY CLINICS
NPI 1194437061
Clinic/Center - Primary Care in Minneapolis, MN

Active since December 21, 2022CLIA 24D2336087 · Waiver
2015 CHICAGO AVE, MINNEAPOLIS, MN 55404(763) 285-4916(612) 345-4191 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2023, Dec 21, 2022 (2 updates tracked since 2022).

About Odam Community Clinics NPPES

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

ODAM COMMUNITY CLINICS (NPI 1194437061) is a healthcare organization registered as a primary care in Minneapolis, Minnesota and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Robert Larbi-odam, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1194437061
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameODAM COMMUNITY CLINICS
Location Address2015 CHICAGO AVEMinneapolis, MN 55404-2813
Mailing Address2015 Chicago AveMinneapolis, MN 55404-2813 · (763) 285-4916 · Fax (612) 345-4191
Phone(763) 285-4916
Fax(612) 345-4191
Organization SubpartNo
Authorized OfficialRobert Larbi-odamMedical Director · (952) 228-0420
Enumeration DateDecember 21, 2022
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
✔ NPI 1194437061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2015 CHICAGO AVE, Minneapolis, MN 55404
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 24D2336087

Odam Community Clinics · Saint Paul, MN
Active · expires Dec 22, 2027
CLIA Number24D2336087
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorRobert Larbi-Odam
Laboratory Phone(763) 285-4916
Laboratory LocationOdam Community Clinics1350 Energy Ln Ste 220, Saint Paul, MN 55108
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 3

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

DR. NASRA H GIAMA DNP, WHNP
Nurse Practitioner (Women's Health)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 315-2858
COMMUNITY CARE CLINICS OF MINNESOTA
Clinic/Center (Primary Care)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (952) 228-0420
INSPIRE CHANGE CLINIC
Clinic/Center (Primary Care)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404
Hennepin County (612) 987-4505

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 Odam Community Clinics's NPI number?

The NPI number for Odam Community Clinics is 1194437061. It was assigned to this organization in the NPPES registry on December 21, 2022.

Where is Odam Community Clinics located?

Odam Community Clinics is located at 2015 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (763) 285-4916.

What is Odam Community Clinics's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Odam Community Clinics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2336087) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Odam Community Clinics was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.