Organization
PATIENT READINESS INSTUTUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMI M BOERNER (CARE COORDINATOR)
(612) 224-9913
Entity
Organization
Contact information
Practice address
5004 1/2 XERXES AVE S, SUITE 3, MINNEAPOLIS, MN 55410-2226
(612) 224-9913
(612) 360-2993
Mailing address
5004 1/2 XERXES AVE S, SUITE 3, MINNEAPOLIS, MN 55410-2226
(612) 224-9913
(612) 360-2993
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
37208
MN
207ZC0006X
Clinical Pathology Physician
Primary
37208
MN
207ZH0000X
Hematology (Pathology) Physician
37208
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114994563
TYPE 1 NPI
MN
05
—
387223800
—
MN
Enumeration date
07/13/2012
Last updated
07/30/2012
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