Organization
HEALTHEAST MEDICAL LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN RING (AO DIRECTOR OF NETWORK RELATIONS)
(612) 672-6740
Entity
Organization
Contact information
Practice address
45 W 10TH STREET, SAINT PAUL, MN 55102-1004
(651) 232-3500
(651) 232-3370
Mailing address
1700 UNIVERSITY AVENUE, SAINT PAUL, MN 55104
(612) 672-2258
(612) 672-6041
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
24D0398925
MN
Other
Enumeration date
11/30/2006
Last updated
10/20/2023
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