Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blooming Ridge LLC

Organization Clinic/Center · NPI 1568286458

Blooming Ridge LLC is a Clinic/Center in Bloomington, Minnesota. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1600 E 80th St
Bloomington, MN 55425-1167
Phone: (612) 205-7792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1568286458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mariam Farah — Owner · (612) 205-7792
NPI enumeratedNovember 8, 2024
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024
Mailing address1600 E 80th St, Bloomington, MN 55425-1167

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