Organization
NORTHERN PLAINS LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT R SCHLEY (GOVERNOR)
(701) 530-7610
Entity
Organization
Contact information
Practice address
401 N 9TH ST, BISMARCK, ND 58501-4507
(701) 530-5700
(701) 530-5722
Mailing address
PO BOX 2036, BISMARCK, ND 58502-2036
(701) 222-2480
(701) 222-4537
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
35D1037915
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0421396
—
MT
05
—
13445
—
ND
01
—
25690
BLUE CROSS/BLUE SHIELD
ND
01
—
P00223954
RR MEDICARE
ND
Enumeration date
11/09/2005
Last updated
07/24/2017
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