UNIVERSITY OF MINNESOTA
NPI 1518445691
Neuromusculoskeletal Medicine & OMM in Minneapolis, MN
- Organization
- Neuromusculoskeletal Medicine & OMM
- CLIA Number: 24D2245282
- CLIA Cert. Type: Mobile Laboratory
- CLIA Exp. Date: 12-09-2025
About UNIVERSITY OF MINNESOTA
This page provides the complete NPI Profile along with additional information for University Of Minnesota, a provider established in Minneapolis, Minnesota operating as a Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1518445691 assigned on August 2018. The practitioner's primary taxonomy code is 204D00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Jerrold Lee Vitek M.d. (Chair, Neurology Dept.)
- NPI
- 1518445691 Verify this NPI
- Provider Name
- UNIVERSITY OF MINNESOTA
- Entity Type
- Organization
- Location Address
- 515 DELAWARE ST. SE MOOS TOWER, ROOM 13-129 MINNEAPOLIS, MN 55455
- Location Phone
- (612) 626-7403
- Location Fax
- (612) 301-1455
- Mailing Address
- 420 DELAWARE ST. SE MMC295 MAYO MINNEAPOLIS, MN 55455
- Mailing Phone
- (612) 626-4703
- Mailing Fax
- (612) 301-1455
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-01-2018
- Last Update Date
- 08-01-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neuromusculoskeletal Medicine & OMM
- Taxonomy Code
- 204D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 24D2245282
- Facility Type
- Mobile Laboratory
- Certificate Effective Date
- December 10, 2023
- Certificate Expiration Date
- December 09, 2025
- Laboratory Director
- JONATHAN KRISCH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to University Of Minnesota to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518445691, enumerated as an "organization" on August 01, 2018.
The provider is located at 515 DELAWARE ST. SE MOOS TOWER, ROOM 13-129 MINNEAPOLIS, MN 55455 and the phone number is (612) 626-7403.
Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.