# CDI TWIN CITIES ASC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RAYUS TWIN CITIES ASC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245207687
- **Authorized official:** RAMONA AHERN (SPECIAL ASSISTANT SECRETARY)
- **Authorized official phone:** (952) 738-4441

## Contact information

- **Practice address:** 5775 WAYZATA BOULEVARD, SUITE 190, ST LOUIS PARK, MN 55416
- **Practice address phone:** (952) 546-5022
- **Practice address fax:** (952) 546-5024
- **Mailing address:** PO BOX 1450, NW 5008, MINNEAPOLIS, MN 55485-5008
- **Mailing address phone:** (952) 542-8553
- **Mailing address fax:** (952) 513-6880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/03/2006
- **Last updated:** 09/23/2021