Organization
METRO CLINICAL LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDINASIR AHMED (PRESIDENT)
61222279904
Entity
Organization
Contact information
Practice address
312 W LAKE ST, MINNEAPOLIS, MN 55408-4898
(612) 222-7990
(612) 886-9481
Mailing address
P.O BOX 80502, MINNEAPOLIS, MN 55408
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
851814900038
MN
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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