TWIN CITIES NUTRITION CONSULTANTS, LLC
NPI 1225304389
Clinic/Center in Eagan, MN
- Organization
- Clinic/Center
- CLIA Number: 24D2234045
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-26-2027
About TWIN CITIES NUTRITION CONSULTANTS, LLC
This page provides the complete NPI Profile along with additional information for Twin Cities Nutrition Consultants, Llc, a provider established in Eagan, Minnesota operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1225304389 assigned on March 2012. The practitioner's primary taxonomy code is 261Q00000X with license number 2880 (MN). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Rachael Lynn Halvorson Rd (Owner, Registered Dietitian)
- NPI
- 1225304389 Verify this NPI
- Provider Name
- TWIN CITIES NUTRITION CONSULTANTS, LLC
- Entity Type
- Organization
- Location Address
- 1250 YANKEE DOODLE RD SUITE 216 EAGAN, MN 55121
- Location Phone
- (612) 419-8955
- Mailing Address
- 1250 YANKEE DOODLE RD SUITE 216 EAGAN, MN 55121
- Mailing Phone
- (612) 419-8955
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-22-2012
- Last Update Date
- 03-22-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 2880
- License State
- MN
- Taxonomy Description
- 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).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2234045
- Facility Type
- Physician Office
- Certificate Effective Date
- August 27, 2025
- Certificate Expiration Date
- August 26, 2027
- Laboratory Director
- JESSICA J. BRY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Twin Cities Nutrition Consultants, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225304389, enumerated as an "organization" on March 22, 2012.
The provider is located at 1250 YANKEE DOODLE RD SUITE 216 EAGAN, MN 55121 and the phone number is (612) 419-8955.
Clinic/Center with taxonomy code 261Q00000X.
