| NPI | 1215952445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANNE LUND Doctor 320-253-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MN 33302) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |