Organization
CHOICE LAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD D STAMPANETTI (PRESIDENT)
(651) 434-5508
Entity
Organization
Contact information
Practice address
1572 EDMUND AVE, SUITE 101, SAINT PAUL, MN 55104-2343
(651) 434-5508
Mailing address
1572 EDMUND AVE, SUITE 101, SAINT PAUL, MN 55104-2343
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
24D1084147
MN
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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