Organization
ACCESS GENETICS, LLC
Active
Other names
OralDNA Labs Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD CHARLES MCGLENNEN M.D. (PRESIDENT, MEDICAL DIRECTOR)
(952) 400-7785
Entity
Organization
Contact information
Practice address
7400 FLYING CLOUD DR, SUITE 150, EDEN PRAIRIE, MN 55344-3720
(888) 250-4407
(952) 942-0703
Mailing address
PO BOX 1414, MI63, MINNEAPLOIS, MN 55480-1414
(888) 250-4407
(952) 767-1153
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
24D1033809
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
897100000
—
MN
Enumeration date
07/14/2006
Last updated
01/06/2023
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