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PJG MEDICAL L.L.C.
NPI 1285241075
Clinic/Center - Health Service in Saint Paul, MN

Active since September 25, 2020CLIA 24D2222054 · Waiver
700 RAYMOND AVE STE 130, SAINT PAUL, MN 55114(612) 895-1510(833) 979-0945 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2021, Sep 25, 2020 (2 updates tracked since 2020).

About Pjg Medical L.l.c. NPPES

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

PJG MEDICAL L.L.C. (NPI 1285241075) is a healthcare organization registered as a health service in Saint Paul, Minnesota and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through April 26, 2027 and lists Philip Gyura, Owner, as its authorized official.

NPPES Registry Identity

NPI1285241075
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NamePJG MEDICAL L.L.C.
Location Address700 RAYMOND AVE STE 130Saint Paul, MN 55114-1778
Mailing Address700 Raymond Ave Ste 130Saint Paul, MN 55114-1778 · (612) 895-1510 · Fax (833) 979-0945
Phone(612) 895-1510
Fax(833) 979-0945
Organization SubpartNo
Authorized OfficialPhilip GyuraOwner · (507) 398-2481
Enumeration DateSeptember 25, 2020
Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1285241075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
700 RAYMOND AVE STE 130, Saint Paul, MN 55114
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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 24D2222054

Pjg Medical LLC · Minneapolis, MN
Active · expires Apr 26, 2027
CLIA Number24D2222054
Laboratory TypePhysician Office
Certificate Effective DateApril 27, 2025
Certificate Expiration DateApril 26, 2027
Laboratory DirectorPhilip J. Gyura
Laboratory Phone(507) 398-2481
Laboratory LocationPjg Medical LLC4029 23rd Ave S, Minneapolis, MN 55407
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 7

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

YOUR PATH, LLC
Clinic/Center
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Ramsey County (612) 895-1511
MELISSA M. J. BAUMGART APRN-BC
Nurse Practitioner (Family)
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Ramsey County (612) 895-1510
STEPHEN M DELISI MD
Psychiatry & Neurology (Psychiatry)
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Ramsey County (612) 699-7778
PHILIP JOSEPH GYURA DNP, FNP-BC
Nurse Practitioner (Family)
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Ramsey County (612) 895-1510
CATHERINE LYNETTE WANZALA
Counselor (Addiction (Substance Use Disorder))
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Ramsey County (612) 895-1510
YOURPATH CARE, PLLC
Psychiatry & Neurology (Psychiatry)
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Ramsey County (612) 895-1510
BEYOND BRINK
Peer Specialist
700 RAYMOND AVE STE 130
SAINT PAUL, MN 55114
Ramsey County (507) 779-1075

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 Pjg Medical L.L.C.'s NPI number?

The NPI number for Pjg Medical L.L.C. is 1285241075. It was assigned to this organization in the NPPES registry on September 25, 2020.

Where is Pjg Medical L.L.C. located?

Pjg Medical L.L.C. is located at 700 Raymond Ave Ste 130, Saint Paul, MN 55114. The listed phone number is (612) 895-1510.

What is Pjg Medical L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Pjg Medical L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2222054) is associated with this NPI, valid through April 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pjg Medical L.L.C. accept?

Health plans from HealthPartners list Pjg Medical L.L.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pjg Medical L.L.C. was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.