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General NPI Number Information
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NPI Number | 1477499648
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Entity Type | Organization
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Legal Business Name | CASCADE DIAGNOSTICS
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 500 MARSCHALL RD STE 300
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City | SHAKOPEE
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State | MN
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Zip | 55379-2690
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Country | US
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Telephone | 952-856-3932
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Fax | 952-448-6047
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Provider Business Mailing Address
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Address Line | 500 MARSCHALL RD STE 300
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City | SHAKOPEE
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State | MN
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Zip | 55379-2690
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Country | US
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Telephone | 952-856-3932
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Fax | 952-448-6047
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Authorized Official
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Title or Position | REVENUE CYCLE/CREDENTIALING
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Name | ELISA L JOHNSON
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Credential | MANAGING EMPLOYEE
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Telephone | 952-856-3932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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