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Provider Information for 1093792350


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MAYO COLLABORATIVE SERVICES, INC

Other Names:  
Doing Business As: 
MAYO CLINIC LABORATORIES
Former Legal Business Name: 
MAYO COLLABORATIVE SERVICES, LLC

Organization Subpart: NO

NPI: 1093792350
Last Updated: 2023-12-13
Certification Date: 2023-12-12

Details

NameValue
NPI1093792350
Enumeration Date2005-12-28
NPI TypeNPI-2 Organization
StatusActive
Authorized Official Information Name: BRIAN MEADE
Title: Chief Operating Officer
Phone: 5072663081
Mailing Address PO BOX 4100
ROCHESTER, MN 55903-4100
United States

Phone: 800-447-6424 | Fax:800-524-5125
 
Primary Practice Address 200 1ST ST SW
ROCHESTER, MN 55905-0002
United States

Phone: 800-447-6424 | Fax:800-524-5125
 
Secondary Practice Address(es)

3050 SUPERIOR DR NW
ROCHESTER, MN 55905-1770
United States

Phone: 800-447-6424 | Fax:
 

4500 SAN PABLO RD S
JACKSONVILLE, FL 32224-1865
United States

Phone: 800-447-6424 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 291U00000X - Clinical Medical Laboratory