Organization
SANFORD CLINIC NORTH
Active
Other names
Sanford Broadway Clinic- Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA K LECLERC (VICE PRESIDENT)
(701) 234-6248
Entity
Organization
Contact information
Practice address
737 BROADWAY, FARGO, ND 58122-0040
(701) 280-4150
(701) 234-2045
Mailing address
737 BROADWAY, FARGO, ND 58122-0040
(701) 280-4150
(701) 234-2045
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
DEA#:35D0655616
ND
291U00000X
Clinical Medical Laboratory
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Other
Enumeration date
12/29/2006
Last updated
07/23/2024
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