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

NORTH METRO SURGERY CENTER
NPI 1760616031
Clinic/Center - Ambulatory Surgical in Blaine, MN

Active since May 14, 2009CLIA 24D1105289 · Waiver
11855 ULYSSES ST NE, SUITE 270, BLAINE, MN 55434(763) 755-6540 Get Directions Write a Review

NPPES record last updated: May 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About North Metro Surgery Center NPPES

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

NORTH METRO SURGERY CENTER (NPI 1760616031) is a healthcare organization registered as an ambulatory surgical in Blaine, Minnesota and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through September 20, 2027 and lists Jeffrey E. Snodgrass, President, as its authorized official.

NPPES Registry Identity

NPI1760616031
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBLAINE MN MULTI SPECIALTY ASC LLC
Location Address11855 ULYSSES ST NE, SUITE 270Blaine, MN 55434-3947
Mailing Address1a Burton Hills BlvdNashville, TN 37215-6187 · (615) 665-1283
Phone(763) 755-6540
Organization SubpartNo
Authorized OfficialJeffrey E. SnodgrassPresident · (615) 665-1283
Enumeration DateMay 14, 2009
Last NPPES UpdateMay 11, 2022
NPPES CertifiedMay 11, 2022
✔ NPI 1760616031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
11855 ULYSSES ST NE, Blaine, MN 55434
Open in Google Maps ↗

Other Names 1

Doing Business AsNorth Metro Surgery Center

Other Identifiers 1

OtherP00825924MN · Railroad

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 24D1105289

North Metro Surgery Center · Blaine, MN
Active · expires Sep 20, 2027
CLIA Number24D1105289
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorGeorge Wandling
Laboratory Phone(763) 755-6540
Laboratory LocationNorth Metro Surgery Center11855 Ulysses Street Suite 270, Blaine, MN 55434
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
643 services352 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
86 services45 patients
Repair of brow paralysis 67900
Repair of brow paralysis is a procedure aimed to restore function and symmetry to the face. This is achieved by adjusting muscles and nerves in the brow area. It can help improve the appearance and movement of the forehead and eyebrows, enhancing overall facial expressions.
82 services43 patients
Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991
This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.
57 services32 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
55 services39 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
24 services13 patients

Other Providers at the Same Location NPPES 16

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

MINNESOTA INTERVENTIONAL PAIN ASSOCIATES
Clinic/Center (Pain)
11855 ULYSSES ST NE, SUITE 240
BLAINE, MN 55434
Anoka County (651) 430-3800
RACHEL HILDEBRAND
Pediatrics
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 581-0555
ANNA BOYD PA-C
Physician Assistant (Medical)
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 581-0555
ANN KATHRYN SCHENDEL LMFT
Marriage & Family Therapist
11855 ULYSSES ST NE, 250
BLAINE, MN 55434
Anoka County (763) 754-0903
TARA L. LEWIS PT
Physical Therapist
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 767-3140
DAVID MOGA
Physical Therapist
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 634-7601
MS. CARLY L. MATTSON PT
Physical Therapist
11855 ULYSSES ST NE, STE 20
BLAINE, MN 55434
Anoka County (763) 767-3140
LORI JEAN TREB
Dietitian, Registered
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 785-4200

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 Blaine Mn Multi Specialty ASC LLC's NPI number?

The NPI number for Blaine Mn Multi Specialty ASC LLC is 1760616031. It was assigned to this organization in the NPPES registry on May 14, 2009. The provider is doing business as North Metro Surgery Center.

Where is Blaine Mn Multi Specialty ASC LLC located?

Blaine Mn Multi Specialty ASC LLC is located at 11855 Ulysses St NE Suite 270, Blaine, MN 55434. The listed phone number is (763) 755-6540.

What is Blaine Mn Multi Specialty ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Blaine Mn Multi Specialty ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D1105289) is associated with this NPI, valid through September 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Blaine Mn Multi Specialty ASC LLC was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.