# IN-HOME CLINIC CONNECTION PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IN-HOME LAB CONNECTION INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093942195
- **Legal business name:** IN-HOME LAB CONNECTION INC.
- **Authorized official:** MS. KATHLEEN JOY VALUSEK C-NP (CEO)
- **Authorized official phone:** (952) 842-9000

## Contact information

- **Practice address:** 4570 W 77TH ST, SUITE 165, EDINA, MN 55435-5008
- **Practice address phone:** (952) 230-7633
- **Practice address fax:** (952) 842-9001
- **Mailing address:** 4570 W 77TH ST, SUITE 165, EDINA, MN 55435-5008
- **Mailing address phone:** (952) 230-7633
- **Mailing address fax:** (952) 842-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | PENDING | NULL | Yes |

## Other

- **Enumeration date:** 06/16/2009
- **Last updated:** 03/05/2010