| NPI | 1962449330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE NYBERG HANSON Doctor 320-253-6554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MN 37636) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2013-10-14 |