Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Sleep Disorder Diagnostic |
261QS1200X | |||
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company |
| NPI Number | 1265278097 |
| LBN Legal business name | ALLINA HEALTH SYSTEM |
| Authorized official | DOMINICA TALLARICO - (COO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/02/2024 |
| Last updated | 01/16/2025 - More than a year ago |
| Identifiers | n/a |
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