Mayo Collaborative Services, INC
Physiological Laboratory in Rochester, MN. Organization (NPI-2).
NPI number1104587765
StatusActive
Last updated in NPPESApr 19, 2023
Details
- NPI
- 1104587765
- Entity type
- Organization (NPI-2)
- Legal business name
- Mayo Collaborative Services, INC
- Organization subpart
- Yes
- Enumeration date
- Jan 6, 2022
- Certification date
- Apr 19, 2023
- Last updated
- Apr 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 293D00000X | Physiological Laboratory | – | – | Yes |
Other names
- Mayo Clinic Cardiovascular Services (Doing Business As)
- Mayo Collaborative Services, LLC (Former Legal Business Name)
Practice location
4001 41st St NwRochester, MN 55901-8901
Phone 800-447-6424
Mailing address
Po Box 4100Rochester, MN 55903-4100
Authorized official
Dennis Eugene Dahlen
Cfo
5072664416
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