NPI | 1174285423 |
---|---|
Doing Business As | LIFESOURCE |
Entity Type | Organization |
Authorized Contact | PETER DAVID FARSTAD Chief Administrative Officer 612-800-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 335U00000X Organ Procurement Organization |
Enumeration Date | 2021-10-13 |
Last Update Date | 2021-10-13 |