Newly enumerated
The official enumeration date falls within the documented new-enumeration window.
- Enumeration date is 42 days before observation
Type 2 organization · NPI 1083549059
IMPACT SERVICES LLC
253Z00000X · BROOKLYN PARK, MN
Why this profile is appearing now
Observed change signals
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 253Z00000X | 253Z00000X | Primary |
| 251B00000X | 251B00000X | Additional |
| 251C00000X | 251C00000X | Additional |
| 251E00000X | 251E00000X | Additional |
| 251S00000X | 251S00000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s