NPI 1083031439

Neurology LTD.

Organisation Clinical Medical Laboratory Minneapolis, MN

Practice location

Address: 420 Delaware Street SE, Minneapolis, MN 55455-0377
Phone: (612) 625-1431
Mailing address: 2259 Summit Avenue, St. Paul, MN 55105

Authorised official

Name: William R Kennedy
Title: Sole Proprietor
Phone: (612) 625-1431

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 15228 (MN)

Other Clinical Medical Laboratory providers in Minnesota →

Registry record

NPI: 1083031439
Entity type: Organization
NPI issued: 24 Mar 2014
Record last updated: 24 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.