MAPLE GROVE CHILDREN'S SURGERY CENTER, LLC
NPI 1265303382
Clinic/Center - Ambulatory Surgical in Maplewood, MN

Active since September 12, 2025CLIA 24D2332992 · Waiver
1997 SLOAN PL STE 30, MAPLEWOOD, MN 55117(651) 383-3333 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Apr 20, 2026, Sep 12, 2025 (3 updates tracked since 2025).

About Maple Grove Children's Surgery Center, Llc NPPES

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

MAPLE GROVE CHILDREN'S SURGERY CENTER, LLC (NPI 1265303382) is a healthcare organization registered as an ambulatory surgical in Maplewood, Minnesota and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through October 27, 2027 and lists Jeffrey Wheeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265303382
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMAPLE GROVE CHILDREN'S SURGERY CENTER, LLC
Location Address1997 SLOAN PL STE 30Maplewood, MN 55117-2051
Mailing Address1997 Sloan Pl Ste 30Maplewood, MN 55117-2051 · (651) 383-3333
Organization SubpartNo
Authorized OfficialJeffrey WheelerCeo · (301) 494-3000
Enumeration DateSeptember 12, 2025
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1265303382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1997 SLOAN PL STE 30, Maplewood, MN 55117

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 24D2332992

Maple Grove Children's Surgery Center, LLC · Maplewood, MN
Active · expires Oct 27, 2027
CLIA Number24D2332992
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 28, 2025
Certificate Expiration DateOctober 27, 2027
Laboratory DirectorWalters L. James
Laboratory Phone(480) 302-0204
Laboratory LocationMaple Grove Children's Surgery Center, LLC1997 Sloan Place, Suite 30, Maplewood, MN 55117
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Anesthesiology
1997 SLOAN PL STE 30
MAPLEWOOD, MN 55117
Clinic/Center (Ambulatory Surgical)
1997 SLOAN PL STE 30
MAPLEWOOD, MN 55117

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 Maple Grove Children's Surgery Center, LLC's NPI number?

The NPI number for Maple Grove Children's Surgery Center, LLC is 1265303382. It was assigned to this organization in the NPPES registry on September 12, 2025.

Where is Maple Grove Children's Surgery Center, LLC located?

Maple Grove Children's Surgery Center, LLC is located at 1997 Sloan Pl Ste 30, Maplewood, MN 55117. The listed phone number is (651) 383-3333.

What is Maple Grove Children's Surgery Center, LLC's specialty?

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

Does Maple Grove Children's Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2332992) is associated with this NPI, valid through October 27, 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 Maple Grove Children's Surgery Center, LLC was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.