PRIDE INSTITUTE
NPI 1699141358
Substance Abuse Rehabilitation Facility in Eden Prairie, MN
- Organization
- Substance Abuse Rehabilitation Facility
- CLIA Number: 24D1097621
- CLIA Cert. Type: Other - SUBSTANCE USE DISORDER IN
- CLIA Exp. Date: 03-30-2027
About PRIDE INSTITUTE
This page provides the complete NPI Profile along with additional information for Pride Institute, a provider established in Eden Prairie, Minnesota operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1699141358 assigned on August 2015. The practitioner's primary taxonomy code is 324500000X with license number 10301124CDT (MN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Molly Gilbert Med (Director Of Business Development)
- NPI
- 1699141358 Verify this NPI
- Provider Name
- PRIDE INSTITUTE
- Entity Type
- Organization
- Location Address
- 14400 MARTIN DR EDEN PRAIRIE, MN 55344
- Location Phone
- (952) 934-7554
- Mailing Address
- 14400 MARTIN DR EDEN PRAIRIE, MN 55344
- Mailing Phone
- (952) 934-7554
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2015
- Last Update Date
- 08-18-2015
- 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
Substance Abuse Rehabilitation Facility
- Taxonomy Code
- 324500000X
- Type
- Residential Treatment Facilities
- License No.
- 10301124CDT
- License State
- MN
- Taxonomy Description
- A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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
- 24D1097621
- Facility Type
- Other - SUBSTANCE USE DISORDER IN
- Certificate Effective Date
- March 31, 2025
- Certificate Expiration Date
- March 30, 2027
- Laboratory Director
- XIANGYANG ZHAO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pride Institute 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 4 providers are registered at the same or a nearby location.
EDEN PRAIRIE, MN 55344
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699141358, enumerated as an "organization" on August 18, 2015.
The provider is located at 14400 MARTIN DR EDEN PRAIRIE, MN 55344 and the phone number is (952) 934-7554.
Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
