Organization
LAB TEAM ASSISTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WYLIE CPT, MA (LABORATORY DIRECTOR)
(612) 547-5754
Entity
Organization
Contact information
Practice address
849 W 80TH ST, BLOOMINGTON, MN 55420-1027
(612) 547-5754
Mailing address
849 W 80TH ST, BLOOMINGTON, MN 55420-1027
(612) 547-5754
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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