Organization
PEDIATRIC LAB SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BEATTIE (OWNER)
(612) 672-3662
Entity
Organization
Contact information
Practice address
12200 MIDDLE SET RD STE 100, EDEN PRAIRIE, MN 55344-5420
(952) 943-8200
(952) 943-8206
Mailing address
12200 MIDDLE SET RD STE 100, EDEN PRAIRIE, MN 55344-5420
(952) 943-8200
(952) 943-8206
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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