Evergreen Recovery Clinical Laboratory

LBN: Evergreen Recovery Clinical Laboratory
Evergreen Recovery Clinical Laboratory is an health care organization with primary practice located at 1400 Energy Park Dr Ste 21 , Saint Paul MN 55108-5248. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Evergreen Recovery Clinical Laboratory can be contacted via phone (651) 252-6078, or through Heim, Heather L via phone (651) 252-6078.

Contact Information

Primary practice address
1400 Energy Park Dr Ste 21 Saint Paul MN 55108-5248
Phone: (651) 252-6078
Fax: (651) 252-6071
Website:
Map and Directions
Authorized official contact:
Name: Heim, Heather L CPRS
Phone: (651) 252-6078

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1801501523
LBN Legal business name Evergreen Recovery Clinical Laboratory
DBA Doing business as
Authorized official Heim, Heather L CPRS
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 17th, 2023
Last updated Jan 17th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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