Organization
METRO CLINICAL LABORATORY, LLC
Active
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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