Organization
MARTELL DIAGNOSTIC LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN PASS (CHAIRMAN, CEO)
(715) 273-4104
Entity
Organization
Contact information
Practice address
301 CARLSON PKWY STE 103, MINNETONKA, MN 55305-5358
(715) 273-4104
Mailing address
301 CARLSON PKWY STE 103, MINNETONKA, MN 55305-5358
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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