| NPI | 1033474267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMMI M BOERNER Care Coordinator 612-224-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZC0006X Pathology, Clinical Pathology (Licence: MN 37208) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: MN 37208) |
| 207ZH0000X Pathology, Hematology (Licence: MN 37208) | |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-30 |