| NPI | 1871964296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA GOODHEART Vice President And General Manager 763-526-2518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2018-04-11 |