Organization
GROUP HEALTH PLAN INC.
Active
Other names
HealthPartners Central Lab
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BJORKMAN (DIRECTOR)
(952) 883-7469
Entity
Organization
Contact information
Practice address
9700 W 76TH ST, STE B, EDEN PRAIRIE, MN 55344
(952) 829-3390
(952) 829-3380
Mailing address
8170 33RD AVE S, MAILSTOP 21110Q, MINNEAPOLIS, MN 55440-1309
(952) 883-7123
(952) 853-8727
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
8600490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24D0668589
CLIA
MN
Enumeration date
08/31/2006
Last updated
07/16/2018
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