| NPI | 1144595729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLICENT WARRINGTON Director Of Nursing 612-366-0056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MN 356888) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |