| NPI | 1194241166 |
|---|---|
| Doing Business As | FIVE STARS CLINICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | JASON VANDERSCOFF CEO, Managing Director 952-448-6557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: 24D2130068) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2017-08-21 |