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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLOOMINGTON LAKE CLINIC, LTD

Active Organization

BLOOMINGTON LAKE CLINIC, LTD is a Multi-Specialty Clinic organization located in BLOOMINGTON, Minnesota. NPI 1215090501 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · BLOOMINGTON, MN

Registration Details

NPI Number
1215090501
Provider Type
Organization
NPI Issued
Dec 18, 2006 (19.675040977575 yrs)
Last Updated
Apr 4, 2011
License
23 (MN)

Practice Information

Address
7901 XERXES AVE S STE 116
BLOOMINGTON, MN, 554311200
Browse MN providers · Browse ZIP 55431
Phone
9528882024
Fax
9528883985
Primary Specialty
Multi-Specialty Clinic
261QM1300X

Other Multi-Specialty Clinic Organizations in BLOOMINGTON, MN

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.