=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780567701
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNITY THERAPEUTICS SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/28/2025
-----------------------------------------------------
Last Update Date | 07/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3055 OLD HIGHWAY 8 STE 215
-----------------------------------------------------
City | ST ANTHONY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55418-2492
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-442-8241
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3055 OLD HIGHWAY 8 STE 215
-----------------------------------------------------
City | ST ANTHONY
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55418-2492
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-442-8241
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ABDULAHI ISMAIL MOHAMED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 651-442-8241
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------