| NPI | 1174504989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURT R SCHLEY Governor 701-530-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ND 35D1037915) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2017-07-24 |