Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Active
Parent organization
REGENTS OF THE UNIVERSITY OF MINNESOTA
Other names
University Oral Pathology Laboratory
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF MINNESOTA
Authorized official
DR. KEITH MAYS DDS, MS, PHD (DEAN, UOFMN SCHOOL OF DENTISTRY)
(612) 624-2424
Entity
Organization
Contact information
Practice address
515 DELAWARE ST SE, 16-116 MOOS TOWER, MINNEAPOLIS, MN 55455-0357
(612) 624-5478
(612) 626-3076
Mailing address
420 DELAWARE ST SE, MMC 83, MINNEAPOLIS, MN 55455-0341
(612) 624-5478
(612) 626-3076
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
24D0973260
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
325413500
—
MN
Enumeration date
11/09/2006
Last updated
06/14/2024
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