NPI 1194241166

Five Stars Recovery Center

Organisation Clinical Medical Laboratory Chaska, MN

Practice location

Address: 1045 Stoughton Ave., Chaska, MN 55318
Phone: (952) 448-6557
Fax: (952) 448-6047

Authorised official

Name: Jason Vanderscoff
Title: Ceo, Managing Director
Phone: (952) 448-6557

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 24D2130068

Other Clinical Medical Laboratory providers in Minnesota →

Registry record

NPI: 1194241166
Entity type: Organization
NPI issued: 21 Aug 2017
Record last updated: 21 Aug 2017

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.