Basic Information
Provider Information
NPI: 1154488849
EntityType: 2
ReplacementNPI:  
OrganizationName: DBS LABS INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 3920 13TH AVE E
Address2: SUITE 6
City: HIBBING
State: MN
PostalCode: 557463675
CountryCode: US
TelephoneNumber: 2182637540
FaxNumber: 8667320699
Practice Location
Address1: 8723 FALCON ST
Address2:  
City: DULUTH
State: MN
PostalCode: 558081512
CountryCode: US
TelephoneNumber: 8774767229
FaxNumber: 2186261638
Other Information
ProviderEnumerationDate: 01/02/2007
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HINZ
AuthorizedOfficialFirstName: MARTIN
AuthorizedOfficialMiddleName: J
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 2183100730
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
291U00000X  Y LaboratoriesClinical Medical Laboratory 

No ID Information.


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