Organization
MEDLAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW WAFFENSMITH (DIRECTOR OF OPERATIONS)
(218) 851-0213
Entity
Organization
Contact information
Practice address
800 BOONE AVE N, GOLDEN VALLEY, MN 55427-4468
(763) 267-6654
Mailing address
800 BOONE AVE N, GOLDEN VALLEY, MN 55427-4468
(763) 267-6654
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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