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

DIAMOND LAKE CLINIC, P.C.

Active Organization

DIAMOND LAKE CLINIC, P.C. is a Health Service Clinic organization located in MINNEAPOLIS, Minnesota. NPI 1740669498 is currently active in the NPPES registry. Verify at CMS.

Health Service Clinic · MINNEAPOLIS, MN

Registration Details

NPI Number
1740669498
Provider Type
Organization
NPI Issued
May 27, 2015 (11.032865072603 yrs)
Last Updated
Apr 1, 2025
Licenses
53530 (MN)
52657 (MN)
52657 (MN)
52657 (MN)

Practice Information

Address
5939 PORTLAND AVE
MINNEAPOLIS, MN, 554173127
Browse MN providers · Browse ZIP 55417
Phone
6128063011
Primary Specialty
Health Service Clinic
261QH0100X
Additional Specialty
Primary Care Clinic
Additional Specialty
Point of Service
Additional Specialty
Health Service Clinic

Other Health Service Clinic Organizations in MINNEAPOLIS, 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.