Aurora Medical Park Laboratory LLC
NPI #1104862606 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1104862606
- Entity Type
- Organization
- Organization Name
- Aurora Medical Park Laboratory LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jun 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1451 44TH AVE S
- Address 2
- UNIT D, SUITE H
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-3434
- Phone
- (701) 335-2642
Authorized Official
- Name
- THOMAS PETERSON, MD
- Title
- PRESIDENT
- Phone
- (701) 335-2642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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