Organization
GENOA HEALTHCARE CLINICAL LABORATORY LLC
Active
Other names
GENOA HEALTHCARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP RAYMOND STROETZ MT ASCP (LABORATORY DIRECTOR)
(651) 917-4029
Entity
Organization
Contact information
Practice address
3101 OLD HIGHWAY 8, SUITE 203-A, ROSEVILLE, MN 55113-1072
(952) 388-0400
(651) 304-1902
Mailing address
18300 CASCADE AVE S, SUITE 251, TUKWILA, WA 98188-4746
(425) 679-5692
(206) 275-0114
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/05/2011
Last updated
07/22/2011
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