| NPI | 1477499648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISA L JOHNSON Authorized Official/Managing Employ 952-856-3932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2026-04-28 |
| Last Update Date | 2026-08-24 |