| NPI | 1821361775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA MICHELE HUSEBY Owner 218-727-2367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2022-07-21 |