| NPI | 1033572607 |
|---|---|
| Former Legal Business Name | CLINICAL LAB |
| Entity Type | Organization |
| Authorized Contact | ABDINASIR M AHMED Director 612-222-7990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |