1. Home
  2. Directory
  3. Minnesota
  4. Moorhead
  5. Clinic Center
  6. NPI Profile

ODAM MEDICAL GROUP
NPI 1366241309
Clinic/Center - Primary Care in Moorhead, MN

Active since March 11, 2025CLIA Certified · 3 labs
1100 32ND AVE S STE 2, MOORHEAD, MN 56560(320) 774-3800(320) 774-3360 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Odam Medical Group NPPES

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

ODAM MEDICAL GROUP (NPI 1366241309), doing business as Odam Medical Group Moorhead, is a healthcare organization registered as a primary care in Moorhead, Minnesota and active in the NPI registry since March 2025. The organization holds 3 active CLIA laboratory certificates and lists Robert Larbi-odam, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366241309
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameODAM MEDICAL GROUP
Location Address1100 32ND AVE S STE 2Moorhead, MN 56560-5024
Mailing Address1100 32nd Ave S Ste 2Moorhead, MN 56560-5024 · (320) 774-3800 · Fax (320) 774-3360
Phone(320) 774-3800
Fax(320) 774-3360
Organization SubpartNo
Authorized OfficialRobert Larbi-odamCeo · (612) 871-2312
Enumeration DateMarch 11, 2025
NPPES CertifiedMarch 11, 2025
✔ NPI 1366241309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1100 32ND AVE S STE 2, Moorhead, MN 56560
Open in Google Maps ↗

Other Names 1

Doing Business AsOdam Medical Group Moorhead

CLIA Laboratory Certificates CMS CLIA 3

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 24D2303743

Odam Medical Group Rural Health · Foley, MN
Active · expires Apr 29, 2028
CLIA Number24D2303743
Laboratory TypePhysician Office
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorRobert Larbi-Odam
Laboratory Phone(320) 774-3800
Laboratory LocationOdam Medical Group Rural Health700 Penn St, Foley, MN 56329
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2108690

Odam Medical Group · Crystal, MN
Active · expires Feb 8, 2028
CLIA Number24D2108690
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorRobert Larbi-Odam
Laboratory Phone(612) 871-2312
Laboratory LocationOdam Medical Group6014 Lakeland Ave N, Crystal, MN 55428
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D2157381

Odam Medical Group St Cloud · Saint Cloud, MN
Active · expires Nov 5, 2026
CLIA Number24D2157381
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2024
Certificate Expiration DateNovember 5, 2026
Laboratory DirectorRobert Larbi-Odam
Laboratory Phone(320) 774-3800
Laboratory LocationOdam Medical Group St Cloud1521 Northway Drive Suite 116, Saint Cloud, MN 56303
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Odam Medical Group's NPI number?

The NPI number for Odam Medical Group is 1366241309. It was assigned to this organization in the NPPES registry on March 11, 2025. The provider is doing business as Odam Medical Group Moorhead.

Where is Odam Medical Group located?

Odam Medical Group is located at 1100 32nd Ave S Ste 2, Moorhead, MN 56560. The listed phone number is (320) 774-3800.

What is Odam Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Odam Medical Group hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Odam Medical Group was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.