Organization
AURORA MEDICAL PARK LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PETERSON MD (PRESIDENT)
(701) 335-2642
Entity
Organization
Contact information
Practice address
1451 44TH AVE S, UNIT D, SUITE H, GRAND FORKS, ND 58201-3434
(701) 335-2642
(701) 787-8996
Mailing address
1451 44TH AVE S, UNIT D, SUITE H, GRAND FORKS, ND 58201-3434
(701) 335-2642
(701) 787-8996
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/22/2006
Last updated
08/22/2020
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