LIFESCAN MINNESOTA LLC
NPI 1396748307
Clinic/Center - Radiology in Edina, MN

Active since May 23, 2005CLIA 24D1090458 · Waiver
3955 PARKLAWN AVE, STE 110, EDINA, MN 55435(952) 893-1997(952) 893-0088 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lifescan Minnesota Llc NPPES

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

LIFESCAN MINNESOTA LLC (NPI 1396748307) is a healthcare organization registered as a radiology in Edina, Minnesota and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists Michelle Douglas, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1396748307
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameLIFESCAN MINNESOTA LLC
Location Address3955 PARKLAWN AVE, STE 110Edina, MN 55435-5657
Mailing Address3955 Parklawn Ave, Ste 110Edina, MN 55435-5657 · (952) 893-1997 · Fax (952) 893-0088
Fax(952) 893-0088
Organization SubpartNo
Authorized OfficialMichelle DouglasCredentialing Manager · (502) 403-1401
Enumeration DateMay 23, 2005
Last NPPES UpdateJune 12, 2008
NPI 1396748307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
3955 PARKLAWN AVE, Edina, MN 55435

Other Identifiers 2

Medicare PIN470000014MN
Medicaid9146652-00MN

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 24D1090458

Lifescan Minnesota · Edina, MN
Active · expires Oct 9, 2026
CLIA Number24D1090458
Laboratory TypeOther
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorCheryl L. Riedel
Laboratory Phone(952) 405-2777
Laboratory LocationLifescan Minnesota6545 France Ave South Suite 115, Edina, MN 55435
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 20

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

Pediatrics
3955 PARKLAWN AVE
EDINA, MN 55435
Pediatrics
3955 PARKLAWN AVE
EDINA, MN 55435
Pediatrics
3955 PARKLAWN AVE, STE 120
EDINA, MN 55435
Pediatrics
3955 PARKLAWN AVE, SUITE 200
EDINA, MN 55435
Allergy & Immunology
3955 PARKLAWN AVE, STE 120
EDINA, MN 55435
Pediatrics
3955 PARKLAWN AVE, SUITE 200
EDINA, MN 55435
Pediatrics
3955 PARKLAWN AVE, STE 120
EDINA, MN 55435
Pediatrics
3955 PARKLAWN AVE, STE 120
EDINA, MN 55435

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 Lifescan Minnesota LLC's NPI number?

The NPI number for Lifescan Minnesota LLC is 1396748307. It was assigned to this organization in the NPPES registry on May 23, 2005.

Where is Lifescan Minnesota LLC located?

Lifescan Minnesota LLC is located at 3955 Parklawn Ave Ste 110, Edina, MN 55435. The listed phone number is (952) 893-1997.

What is Lifescan Minnesota LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Does Lifescan Minnesota LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1090458) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifescan Minnesota LLC was last updated on June 12, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.