SPECIALIZED TREATMENT SERVICES INC.
NPI 1871872796
Clinic/Center - Methadone in Minneapolis, MN
- Organization
- Clinic/Center
- Methadone
- CLIA Number: 24D2120738
- CLIA Cert. Type: Other - OUTPATIENT CHEMICAL DEPEN
- CLIA Exp. Date: 10-23-2026
About SPECIALIZED TREATMENT SERVICES INC.
This page provides the complete NPI Profile along with additional information for Specialized Treatment Services Inc., a provider established in Minneapolis, Minnesota operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1871872796 assigned on August 2011. The practitioner's primary taxonomy code is 261QM2800X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Carrie Mcgregor Ladc (President/program Director)
- NPI
- 1871872796 Verify this NPI
- Provider Name
- SPECIALIZED TREATMENT SERVICES INC.
- Entity Type
- Organization
- Location Address
- 1121 JACKSON ST NE STE 105 MINNEAPOLIS, MN 55413
- Location Phone
- (612) 236-1710
- Location Fax
- (612) 236-1744
- Mailing Address
- 1121 JACKSON ST NE STE 105 MINNEAPOLIS, MN 55413
- Mailing Phone
- (612) 236-1710
- Mailing Fax
- (612) 236-1744
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2011
- Last Update Date
- 08-09-2011
- 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
Clinic/Center Methadone
- Taxonomy Code
- 261QM2800X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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
- 24D2120738
- Facility Type
- Other - OUTPATIENT CHEMICAL DEPEN
- Certificate Effective Date
- October 24, 2024
- Certificate Expiration Date
- October 23, 2026
- Laboratory Director
- CARRIE M. MCGREGOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Specialized Treatment Services Inc. 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 7 providers are registered at the same or a nearby location.
MINNEAPOLIS, MN 55413
MINNEAPOLIS, MN 55413
MINNEAPOLIS, MN 55413
MINNEAPOLIS, MN 55413
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1871872796, enumerated as an "organization" on August 09, 2011.
The provider is located at 1121 JACKSON ST NE STE 105 MINNEAPOLIS, MN 55413 and the phone number is (612) 236-1710.
Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.
