| NPI | 1912669037 |
|---|---|
| Other Name | IN HOUSE SENIOR SERVICES LAB |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LEE WECKWERTH Credentialing Manager 612-200-8029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2021-10-08 |