Mayo Collaborative Services, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MAYO COLLABORATIVE SERVICES, INC

Practice address

200 1St St SW
Rochester, MN 55905-0001

Phone

(800) 447-6424

NPI assigned

Nov 1, 2023

Organization subpart

Yes

Parent organization

MAYO COLLABORATIVE SERVICES, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis Eugene Dahlen

Title

Cfo

Phone

(507) 266-4416

Specialties & licenses 1

Addresses

Other names 1

• Mayo Clinic Laboratories Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mayo Collaborative Services, Inc

  • Clinical Medical Laboratory
  • Rochester, MN
  • NPI 1093792350

  O20230525000922

  Same enrollment

Tax ID family

Mayo Medical Laboratories2 organizations share this tax ID, including this one

Part of

Mayo Medical Laboratories

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mayo Collaborative Services, Inc

  • Physiological Laboratory
  • Rochester, MN
  • NPI 1104587765
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gianrico Farrugia, MD

  • Gastroenterology Physician
  • Rochester, MN
  • NPI 1285610469
  NPD (past)
• Curtis A Hanson, M.D.

  • Hematology (Pathology) Physician
  • Rochester, MN
  • NPI 1558340927
  NPD (past)
• Bobbi S Pritt, MD

  • Medical Microbiology Physician
  • Rochester, MN
  • NPI 1578572301
  NPD (past)
• Steven Buskirk, MD

  • Radiation Oncology Physician
  • Jacksonville, FL
  • NPI 1659361582
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1033982129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4100",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559034100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "800-447-6424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Superior Dr NW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559051770",
            "country_code": "US",
            "telephone_number": "800-447-6424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 San Pablo Rd S",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241865",
            "country_code": "US",
            "telephone_number": "800-447-6424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAYO COLLABORATIVE SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAYO COLLABORATIVE SERVICES, INC",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "507-266-4416"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayo Clinic Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mayo Clinic Hospital-Rochester
• Mayo Clinic Hospital-Rochester
• Mayo Clinic Hospital-Rochester
• Mayo Clinic Hospital-Rochester
• Mayo Clinic-Rochester
• Mayo Collaborative Services, Inc
• Mayo Collaborative Services, Inc
• Mayo Collaborative Services, Inc
• Mayo Foundation for Medical Education & Research
• Mayo Foundation for Medical Education & Research

• Clinical Medical Laboratory in Rochester, MN
• Providers in Rochester, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.