Diamond Lake Clinic, P.C.

LBN: Diamond Lake Clinic, P.C.
Diamond Lake Clinic, P.C. is an health care organization with primary practice located at 5939 Portland Ave , Minneapolis MN 55417-3127. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Primary Care, Managed Care Organizations / Point of Service. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty. Diamond Lake Clinic, P.C. can be contacted via phone (612) 806-3011, or through Anyake, Chukwuemeka Alexander via phone (612) 806-3011.

Contact Information

Primary practice address
5939 Portland Ave Minneapolis MN 55417-3127
Phone: (612) 806-3011
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Anyake, Chukwuemeka Alexander MD/MBBS
Phone: (612) 806-3011

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 52657 Minnesota
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 53530 Minnesota
Ambulatory Health Care Facilities / Primary Care 261QP2300X 52657 Minnesota
Managed Care Organizations / Point of Service 305S00000X 52657 Minnesota

Profile Details

NPI number 1740669498
LBN Legal business name Diamond Lake Clinic, P.C.
DBA Doing business as
Authorized official Anyake, Chukwuemeka Alexander MD/MBBS
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2015
Last updated May 27th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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