Three Rivers Pathology Pa

NPI 1003878661 - Pathology - 207ZP0101X

NPI Details
NPI 1003878661
Enumeration Date 04/06/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LARS T LARS
Position PRESIDENT
Phone (651) 635-9700
Fax (651) 635-9026
Practice Location
2664 PATTON ROAD
ROSEVILLE MN, 55113, US
Phone (651) 635-9700
Fax (651) 635-9026
Business Location
PO BOX 1450
N W 5737
MINNEAPOLIS MN, 55485-5737, US
Phone (651) 635-9700
Fax (651) 635-9026
Toxanomy
Taxonomy Code 207ZP0101X
License State
License Number
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According to our database, Three Rivers Pathology Pa NPI is 1003878661, taxonomy code is 207ZP0101X Three Rivers Pathology Pa physically located at 2664 Patton Road, Roseville MN, 55113. NPI Number 1033115704 has the healthcare provider type.

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1003878661 NPI number is provided on an as is basis without warranty of any kind. 1003878661 is maintained by the National Plan & Provider Enumeration System. The contents of Three Rivers Pathology Pa are for informational purposes only.