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

PRIMEMED PLLC
NPI 1396450953
Clinic/Center - Multi-Specialty in Minneapolis, MN

Active since January 18, 2023CLIA 24D2276305 · Waiver
322 W LAKE ST STE 101, MINNEAPOLIS, MN 55408(857) 492-6395(612) 465-4470 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2023, Mar 6, 2023, Jan 18, 2023 (3 updates tracked since 2023).

About Primemed Pllc NPPES

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

PRIMEMED PLLC (NPI 1396450953) is a healthcare organization registered as a multi-specialty in Minneapolis, Minnesota and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Mohamed Adan, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1396450953
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePRIMEMED PLLC
Location Address322 W LAKE ST STE 101Minneapolis, MN 55408-3025
Mailing Address322 W Lake St Ste 101Minneapolis, MN 55408-3025 · (857) 492-6395
Phone(857) 492-6395
Fax(612) 465-4470
Organization SubpartNo
Authorized OfficialMohamed AdanPhysician Assistant · (857) 492-6395
Enumeration DateJanuary 18, 2023
Last NPPES UpdateMay 15, 20233 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
✔ NPI 1396450953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
322 W LAKE ST STE 101, Minneapolis, MN 55408
Open in Google Maps ↗

Other Names 1

Doing Business AsPrimemed Pllc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 24D2276305

Primemed Plcc · Minneapolis, MN
Active · expires Feb 6, 2027
CLIA Number24D2276305
Laboratory TypePhysician Office
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorMohamed A. Adan
Laboratory Phone(857) 492-6395
Laboratory LocationPrimemed Plcc322 W Lake Street, Suite 101, Minneapolis, MN 55408
CLIA data matches this NPI record on: Address 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 Primemed PLLC's NPI number?

The NPI number for Primemed PLLC is 1396450953. It was assigned to this organization in the NPPES registry on January 18, 2023.

Where is Primemed PLLC located?

Primemed PLLC is located at 322 W Lake St Ste 101, Minneapolis, MN 55408. The listed phone number is (857) 492-6395.

What is Primemed PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Primemed PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2276305) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Primemed PLLC accept?

Health plans from Medica list Primemed PLLC 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 Primemed PLLC was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.