Organization
UNIVERSAL MEDICAL SERVICES, INC
Active
Parent organization
UNIVERSAL MEDICAL SERVICES, INC
Other names
Axis Lake St, AXIS Medical Center, dba Axis Medical Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSAL MEDICAL SERVICES, INC
Authorized official
ZILLEHUMA EBRAHIM (CEO)
(612) 282-7492
Entity
Organization
Contact information
Practice address
1 W LAKE ST, MINNEAPOLIS, MN 55408-3154
(612) 767-1557
Mailing address
1801 NICOLLET AVE, MINNEAPOLIS, MN 55403-3791
(612) 823-2947
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538726393
—
MN
Enumeration date
05/28/2019
Last updated
04/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us