Organization
BLOOMINGTON LABS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUSSUF SHAFIE (OWNER)
(952) 992-9803
Entity
Organization
Contact information
Practice address
8040 OLD AVE SOUTH, BLOMMINGTON, MN 55425
(952) 992-9803
Mailing address
8040 OLD AVE SOUTH, BLOMMINGTON, MN 55425
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/31/2023
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