Organization
CHILDRENS HEALTH CARE
Active
Other names
Childrens Hospitals and Clinics of Minnesota
Organization subpart
No
Provider details
NPI number
Authorized official
MARC H GORELICK MD (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(612) 813-8031
Entity
Organization
Contact information
Practice address
345 NORTH SMITH AVENUE, CHILDRENS HOSPITALS AND CLINICS PATHOLOGY STPL, ST PAUL, MN 55102
(651) 220-6650
(651) 220-5280
Mailing address
5901 LINCOLN DRIVE, CBC-2-REV/PE, EDINA, MN 55436-1611
(952) 992-5398
(952) 992-6917
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
331019
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141847500
—
MN
Enumeration date
10/02/2006
Last updated
10/31/2022
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