| NPI | 1205506490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHAMUD MAHAMED Manager 612-250-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 251K00000X Public Health or Welfare | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1000X Clinic/Center, Migrant Health | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2021-09-17 |