| NPI | 1780027953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARS CONWAY President 612-801-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WY 9164A) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-04-08 |