Organization
VALLEY MEDICAL LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHWIN GEORGE MD (VP, CEO)
(612) 444-3000
Entity
Organization
Contact information
Practice address
2438 E 117TH ST, BURNSVILLE, MN 55337-1281
(612) 444-3000
(612) 444-9000
Mailing address
2428 E 117TH ST, BURNSVILLE, MN 55337-1269
(612) 444-3000
(612) 444-9000
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
04/13/2020
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