| NPI | 1710920285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM HEEGAARD President 701-364-4554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: ND 35D0663740) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-10-25 |