Fairview Diagnostic Laboratory
LBN: Fairview Health Services
Fairview Diagnostic Laboratory is an health care organization with primary practice located at 5200 Fairview Blvd Outreach Lab Department, Wyoming MN 55092-8013. The organization recently has 2 registered licenses in different health care specialties including Hospitals / General Acute Care Hospital, Laboratories / Clinical Medical Laboratory. Hospitals / General Acute Care Hospital is the primary health care specialty.
Fairview Health Services can be contacted via phone (651) 982-7220, or through Ring, Maureen via phone (612) 672-6740.
Contact Information
Primary practice address
5200 Fairview Blvd Outreach Lab Department
Wyoming MN 55092-8013
Phone: (651) 982-7220
Fax: (651) 982-7225
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Hospitals / General Acute Care Hospital | 282N00000X | ||
Laboratories / Clinical Medical Laboratory | 291U00000X |
Profile Details
NPI number | 1134280035 |
---|---|
LBN Legal business name | Fairview Health Services |
DBA Doing business as | Fairview Diagnostic Laboratory |
Authorized official | Ring, Maureen |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 13th, 2006 |
Last updated | Nov 20th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134280035 | NPPES |
Minnesota | Other | 12115817 | MHP |
Minnesota | Other | 468S0FA | MHP |
Minnesota | Other | 5025460 | MHP |
Minnesota | Other | 27581 | MHP |
Minnesota | Other | 1006080 | MHP |
Minnesota | Other | 300982 | MHP |
Minnesota | Other | 1640HDI | MHP |
Minnesota | MEDICAID | 792825400 | MHP |
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