NPI 1548564511

Genoa Healthcare Clinical Laboratory LLC

Organisation Clinical Medical Laboratory Roseville, MN

Practice location

Address: 3101 Old Highway 8 Suite 203-A, Roseville, MN 55113-1072
Phone: (952) 388-0400
Fax: (651) 304-1902
Mailing address: 18300 Cascade Ave S Suite 251, Tukwila, WA 98188-4746

Authorised official

Name: Phillip Raymond Stroetz
Title: Laboratory Director
Phone: (651) 917-4029

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Minnesota →

Registry record

NPI: 1548564511
Entity type: Organization
NPI issued: 5 Jan 2011
Record last updated: 22 Jul 2011

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.