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General NPI Number Information
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NPI Number | 1952449191
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Entity Type | Organization
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Legal Business Name | HEALTHCHECK LABORATORIES INC.
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | 2810 VICKSBURG LN.
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City | PLYMOUTH
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State | MN
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Zip | 55447
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Country | US
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Telephone | 763-367-7140
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Fax | 763-367-7145
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Provider Business Mailing Address
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Address Line | 7485 OFFICE RIDGE CIRCLE
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City | EDEN PRAIRIE
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State | MN
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Zip | 55447
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Country | US
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Telephone | 952-259-4500
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Fax | 952-259-4498
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. KATHY LEE YOUNGQUIST
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Credential |
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Telephone | 952-259-4481
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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 | 24D1047784
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License Number State | MN
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