| NPI | 1497736151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARD FREDRICKSON President 701-222-2480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: 35D2002387) |
| Additional Taxonomies | 207ZC0500X Pathology, Cytopathology (Licence: 35D0408903) |
| 207ZC0500X Pathology, Cytopathology (Licence: 35D2002387) | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2024-03-29 |