| NPI | 1508349234 |
|---|---|
| Former Legal Business Name | NORTHSTAR REGIONAL CLINICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | ELISA JOHNSON Credentialing Specialist 952-856-3932 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2024-05-10 |