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Organization

FAIRVIEW HEALTH SERVICES

Active
Other names
Fairview Diagnostic Laboratory
Organization subpart
No

Provider details

NPI number
Authorized official
MAUREEN V RING (SYS DIR GOVT REIMB & NETWK REL)
(612) 672-6740
Entity
Organization

Contact information

Practice address
911 NORTHLAND DR, OUTREACH LAB DEPARTMENT, PRINCETON, MN 55371-2172
(763) 389-6391
Mailing address
1700 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3727
(612) 672-6740
(612) 884-3592

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
291U00000X
Clinical Medical Laboratory

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1006066
PREFERREDONE
MN
01
1814HFA
BCBS
MN
01
20103813
MHP
MN
01
24560FA
BCBS
MN
01
27581
HEALTHPARTNERS
MN
01
300609
UCARE
MN
01
5002017
MEDICA
MN
05
710047700
MN
Enumeration date
12/13/2006
Last updated
02/27/2025
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