Organization
NORTHSTAR REGIONAL
Active
Organization
NORTHSTAR REGIONAL
Active
Parent organization
NORTHSTAR REGIONAL
Other names
NorthStar Regional Clinical Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHSTAR REGIONAL
Authorized official
ELISA JOHNSON (CREDENTIALING SPECIALIST)
(952) 856-3932
Entity
Organization
Contact information
Practice address
500 MARSCHALL RD STE 300, SHAKOPEE, MN 55379-2690
(952) 448-6557
(952) 448-6047
Mailing address
500 MARSCHALL RD STE 300, SHAKOPEE, MN 55379-2690
(952) 448-6557
(952) 448-6047
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
05/10/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up