Organization
RESTORATION LAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN MCKERNAN B.S. (CHIEF COMPLIANCE OFFICER)
(612) 767-9525
Entity
Organization
Contact information
Practice address
3805 WASHINGTON AVE N, MINNEAPOLIS, MN 55412-2141
(612) 677-2668
(612) 767-6603
Mailing address
3805 WASHINGTON AVENUE N, MINNEAPOLIS, MN 55412-1714
(612) 767-9525
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/20/2017
Last updated
10/18/2017
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