Healthcare Provider Details
I. General information
NPI: 1154488849
Provider Name (Legal Business Name): DBS LABS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8723 FALCON ST
DULUTH MN
55808-1512
US
IV. Provider business mailing address
3920 13TH AVE E SUITE 6
HIBBING MN
55746-3675
US
V. Phone/Fax
- Phone: 877-476-7229
- Fax: 218-626-1638
- Phone: 218-263-7540
- Fax: 866-732-0699
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 291U00000X |
| Taxonomy | Clinical Medical Laboratory |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARTIN
J
HINZ
Title or Position: OWNER
Credential: M.D.
Phone: 218-310-0730