Organization
PREMIER BIOTECH LABS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW JAMES MICHALIK (CFO)
(612) 432-6630
Entity
Organization
Contact information
Practice address
723 KASOTA AVE SE, MINNEAPOLIS, MN 55414-2842
(855) 718-6917
Mailing address
723 KASOTA AVE SE, MINNEAPOLIS, MN 55414
(855) 718-6917
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
24D2065288
MN
Other
Enumeration date
10/17/2014
Last updated
05/07/2023
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