PREMISE HEALTH OF MINNESOTA MEDICAL PC
NPI 1205558053
Clinic/Center - Multi-Specialty in Eagan, MN

Active since September 16, 2022CLIA 24D2171698 · Waiver
930 BLUE GENTIAN RD STE 1000, EAGAN, MN 55121(651) 447-4936 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Sep 16, 2022 (2 updates tracked since 2022).

About Premise Health Of Minnesota Medical Pc NPPES

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

PREMISE HEALTH OF MINNESOTA MEDICAL PC (NPI 1205558053), doing business as Pipe Trades Services Mn Family Health & Wellness Centers, is a healthcare organization registered as a multi-specialty in Eagan, Minnesota and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through September 6, 2027 and lists Edward William Schwartz, President, as its authorized official.

NPPES Registry Identity

NPI1205558053
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePREMISE HEALTH OF MINNESOTA MEDICAL PC
Location Address930 BLUE GENTIAN RD STE 1000Eagan, MN 55121-1675
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialEdward William SchwartzPresident · (844) 407-7557
Enumeration DateSeptember 16, 2022
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1205558053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
930 BLUE GENTIAN RD STE 1000, Eagan, MN 55121

Other Names 1

Doing Business AsPipe Trades Services Mn Family Health & Wellness Centers

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 24D2171698

Premise Health Of Minnesota Medical, PC · Eagan, MN
Active · expires Sep 6, 2027
CLIA Number24D2171698
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorDavid J. Caccamo
Laboratory Phone(651) 447-4936
Laboratory LocationPremise Health Of Minnesota Medical, PC930 Blue Gentian Road, Ste 1000, Eagan, MN 55121
CLIA data matches this NPI record on: Address 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.

Family Medicine
930 BLUE GENTIAN RD STE 1000
EAGAN, MN 55121
Chiropractor
930 BLUE GENTIAN RD STE 1000
EAGAN, MN 55121
Family Medicine
930 BLUE GENTIAN RD STE 1000
EAGAN, MN 55121

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 Premise Health Of Minnesota Medical PC's NPI number?

The NPI number for Premise Health Of Minnesota Medical PC is 1205558053. It was assigned to this organization in the NPPES registry on September 16, 2022. The provider is doing business as Pipe Trades Services MN Family Health & Wellness Centers.

Where is Premise Health Of Minnesota Medical PC located?

Premise Health Of Minnesota Medical PC is located at 930 Blue Gentian Rd Ste 1000, Eagan, MN 55121. The listed phone number is (651) 447-4936.

What is Premise Health Of Minnesota Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Premise Health Of Minnesota Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2171698) is associated with this NPI, valid through September 6, 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 Premise Health Of Minnesota Medical PC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.