| NPI | 1699914150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA GOODHEART Vice President And General Manager 763-526-2518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2017-02-10 |