MEDICARE: BELIEF LABS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1407784747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELIEF LABS LLC

Provider Business Mailing Address
First Line	:	1250 WAYZATA BLVD E STE 1
Second Line	:
City	:	WAYZATA
State	:	MN
Zip	:	55391-4115
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1250 WAYZATA BLVD E STE 1
Second Line	:
City	:	WAYZATA
State	:	MN
Zip	:	55391-4115
Country	:	US
Telephone Number	:	320-309-8913
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	REID BRADLEY
Credential	:
Telephone Number	:	320-309-8913

Provider Enumeration Date	:	05/08/2026
Last Update Date	:	05/08/2026

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