Organization
GENOA HEALTHCARE CLINICAL LABORATORY LLC
Active
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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