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ALLINA HEALTH SURGERY CENTER- BROOKLYN PARK, LLC
NPI 1215664917
Clinic/Center - Ambulatory Surgical in Brooklyn Park, MN

Active since August 03, 2022CLIA 24D2258503 · Waiver
6001 96TH LN N STE 200, BROOKLYN PARK, MN 55445(205) 545-2572 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Allina Health Surgery Center- Brooklyn Park, Llc NPPES

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

ALLINA HEALTH SURGERY CENTER- BROOKLYN PARK, LLC (NPI 1215664917) is a healthcare organization registered as an ambulatory surgical in Brooklyn Park, Minnesota and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Michael Miller, Regional Vice President Operations, as its authorized official.

NPPES Registry Identity

NPI1215664917
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameALLINA HEALTH SURGERY CENTER- BROOKLYN PARK, LLC
Location Address6001 96TH LN N STE 200Brooklyn Park, MN 55445-4602
Mailing Address6001 96th Ln N Ste 200Brooklyn Park, MN 55445-4602 · (205) 545-2572
Phone(205) 545-2572
Organization SubpartNo
Authorized OfficialMichael MillerRegional Vice President Operations · (612) 518-5185
Enumeration DateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1215664917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6001 96TH LN N STE 200, Brooklyn Park, MN 55445
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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 24D2258503

Allina Health Surgery Center - Brooklyn Park, LLC · Brooklyn Park, MN
Active · expires Apr 21, 2028
CLIA Number24D2258503
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorTravis M. Jacobs
Laboratory Phone(205) 545-2572
Laboratory LocationAllina Health Surgery Center - Brooklyn Park, LLC6001 96th Lane N, Suite 200, Brooklyn Park, MN 55445
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

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

TYLER GUCKEEN
Specialist/Technologist (Athletic Trainer)
6001 96TH LN N STE 200
BROOKLYN PARK, MN 55445
Hennepin County (763) 373-0400

Frequently Asked Questions

What is ALLINA HEALTH SURGERY CENTER- BROOKLYN PARK, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1215664917, enumerated as an "organization" on August 03, 2022.

Where is the provider located?

The provider is located at 6001 96TH LN N STE 200 BROOKLYN PARK, MN 55445 and the phone number is (205) 545-2572.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.