WINMAR DIAGNOSTICS NORTH CENTRAL, INC.

Physiological Laboratory, (Independent Physiological Lab)

A laboratory that operates independently of a hospital and physician?s office to furnish physiological diagnostic services (e.g. EEG?s , EKG?s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

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Contact Information

WINMAR DIAGNOSTICS NORTH CENTRAL, INC.

2700 12TH AVE S
STE B
FARGO, ND 58103-8723

Phone: 701-235-7424
Fax: 701-239-4792
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Physiological Laboratory, (Independent Physiological Lab)	293D00000X	47	Independent Diagnostic Testing Facility (IDTF)
Sleep Disorder Diagnostic	261QS1200X

Indicates primary specialty

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NPI Profile & details for WINMAR DIAGNOSTICS NORTH CENTRAL, INC.

NPI Number 1811041270

LBN Legal business name WINMAR DIAGNOSTICS NORTH CENTRAL, INC.

Authorized official MARCIA NELSON - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/23/2007

Last updated 12/10/2020 - About 5 years ago

Identifiers

MN	Medicaid	410619900
ND	Medicaid	13822

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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