| NPI | 1821756255 |
|---|---|
| Former Legal Business Name | EXPRESS TESTING LLC |
| Entity Type | Organization |
| Authorized Contact | GREGORY WILSON Executive Director 612-599-6925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-12-02 |
| Last Update Date | 2023-04-28 |