| Simple Spectrum Services LLC | |
|
4445 77th St W Ste 106b Edina MN 55435-5133 | |
| (612) 682-2569 | |
| Not Available |
| Full Name | Simple Spectrum Services LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 4445 77th St W Ste 106b, Edina, Minnesota |
| Authorized Official Name and Position | Ahmed Kadar (OWNER) |
| Authorized Official Contact | 6126822569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simple Spectrum Services LLC 4445 77th St W Ste 106b Edina MN 55435-5133 | Simple Spectrum Services LLC 4445 77th St W Ste 106b Edina MN 55435-5133 Ph: (612) 682-2569 |
| NPI Number | 1154115806 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154115806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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