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NPI Code Detail

MEDICARE: MAYO COLLABORATIVE SERVICES, INC

MEDICARE: MAYO COLLABORATIVE SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093792350
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAYO COLLABORATIVE SERVICES, INC
Provider Business Mailing Address
First Line : PO BOX 4100
Second Line :
City : ROCHESTER
State : MN
Zip : 55903-4100
Country : US
Telephone Number : 800-447-6424
Fax Number : 800-524-5125
Provider Business Practice Location Address
First Line : 200 1ST ST SW
Second Line :
City : ROCHESTER
State : MN
Zip : 55905-0002
Country : US
Telephone Number : 800-447-6424
Fax Number : 800-524-5125
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : BRIAN MEADE
Credential :
Telephone Number : 507-266-3081
Provider Enumeration Date : 12/28/2005
Last Update Date : 12/13/2023

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Directions to “MAYO COLLABORATIVE SERVICES, INC ” Practice Location

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