Organization
FAIRVIEW HEALTH SERVICES
Active
Other names
Fairview Diagnostic Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN V RING (SYS DIR GOVT REIMB & NETWK REL)
(612) 672-6740
Entity
Organization
Contact information
Practice address
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT, MINNEAPOLIS, MN 55454-1450
(612) 273-7838
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012HRI
BCBS
MN
01
—
1033106
PREFERREDONE
MN
01
—
131760
UCARE
MN
01
—
1913206
MHP
MN
01
—
27581
HEALTHPARTNERS
MN
01
—
339R1FA
BCBS
MN
01
—
5000803
MEDICA
MN
05
—
616845100
—
MN
Enumeration date
12/13/2006
Last updated
02/19/2025
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