Provider Demographics
NPI:1558845628
Name:MEDTRONIC MONITORING, INC
Entity Type:Organization
Organization Name:MEDTRONIC MONITORING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT/GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:VOGL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-526-0874
Mailing Address - Street 1:800 53RD AVE NE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55421-1241
Mailing Address - Country:US
Mailing Address - Phone:888-247-7449
Mailing Address - Fax:763-355-3450
Practice Address - Street 1:800 53RD AVE NE
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-1241
Practice Address - Country:US
Practice Address - Phone:888-247-7449
Practice Address - Fax:763-355-3450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-24
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory