INSPIRE CHANGE CLINIC
NPI 1831932128
Clinic/Center - Primary Care in Minneapolis, MN

Active since June 14, 2024CLIA 24D2326413 · Waiver
2015 CHICAGO AVE, MINNEAPOLIS, MN 55404(612) 987-4505 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Inspire Change Clinic NPPES

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

INSPIRE CHANGE CLINIC (NPI 1831932128) is a healthcare organization registered as a primary care in Minneapolis, Minnesota and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through July 1, 2027 and lists Jamila Abdukadir, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1831932128
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINSPIRE CHANGE CLINIC
Location Address2015 CHICAGO AVEMinneapolis, MN 55404-2813
Mailing Address2649 Park Ave # 208Minneapolis, MN 55407-1006 · (612) 987-4505
Organization SubpartNo
Authorized OfficialJamila AbdukadirMedical Director · (612) 987-4505
Enumeration DateJune 14, 2024
NPPES CertifiedJune 14, 2024
NPI 1831932128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2015 CHICAGO AVE, Minneapolis, MN 55404

Other Names 1

Doing Business AsInspire Change Clinic

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 24D2326413

Inspire Change Clinic · Minneapolis, MN
Active · expires Jul 1, 2027
CLIA Number24D2326413
Laboratory TypePractitioner Other
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorJamila Abdukadir
Laboratory Phone(952) 457-3797
Laboratory LocationInspire Change Clinic2015 Chicago Ave S, Minneapolis, MN 55404
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Primary Care)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Women's Health)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404
Clinic/Center (Primary Care)
2015 CHICAGO AVE
MINNEAPOLIS, MN 55404

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 Inspire Change Clinic's NPI number?

The NPI number for Inspire Change Clinic is 1831932128. It was assigned to this organization in the NPPES registry on June 14, 2024.

Where is Inspire Change Clinic located?

Inspire Change Clinic is located at 2015 Chicago Ave, Minneapolis, MN 55404. The listed phone number is (612) 987-4505.

What is Inspire Change Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Inspire Change Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2326413) is associated with this NPI, valid through July 1, 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 Inspire Change Clinic was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.