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BLOOMING RIDGE LLC
NPI 1568286458
Clinic/Center in Bloomington, MN

Active since November 08, 2024CLIA 24D2346222 · Waiver
1600 E 80TH ST, BLOOMINGTON, MN 55425(612) 205-7792 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Blooming Ridge Llc NPPES

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

BLOOMING RIDGE LLC (NPI 1568286458) is a healthcare organization registered as a clinic/center in Bloomington, Minnesota and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Mariam Farah, Owner, as its authorized official.

NPPES Registry Identity

NPI1568286458
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBLOOMING RIDGE LLC
Location Address1600 E 80TH STBloomington, MN 55425-1167
Mailing Address1600 E 80th StBloomington, MN 55425-1167
Phone(612) 205-7792
Organization SubpartNo
Authorized OfficialMariam FarahOwner · (612) 205-7792
Enumeration DateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
✔ NPI 1568286458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1600 E 80TH ST, Bloomington, MN 55425
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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 24D2346222

Blooming Ridge LLC · Bloomington, MN
Active · expires Jun 24, 2028
CLIA Number24D2346222
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorMariam S. Farah
Laboratory Phone(952) 300-3688
Laboratory LocationBlooming Ridge LLC1600 E 80th Street, Bloomington, MN 55425
CLIA data matches this NPI record on: Address Name
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 Blooming Ridge LLC's NPI number?

The NPI number for Blooming Ridge LLC is 1568286458. It was assigned to this organization in the NPPES registry on November 8, 2024.

Where is Blooming Ridge LLC located?

Blooming Ridge LLC is located at 1600 E 80th St, Bloomington, MN 55425. The listed phone number is (612) 205-7792.

What is Blooming Ridge LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Blooming Ridge LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2346222) is associated with this NPI, valid through June 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blooming Ridge LLC was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.