Mayo Collaborative Services, Inc
NPI 1104587765ActiveOrganization· Physiological Laboratory· Rochester, MN
Physiological Laboratory in Rochester, Minnesota, registered in NPPES in January 2022, part of Mayo Collaborative Services, LLC. The authorized official on file is Dennis Eugene Dahlen, Cfo. Medicare paid $74,869 for services to 115 patients in 2024.
Overview
| NPI | 1104587765 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mayo Collaborative Services, LLC |
| NPI issued | Jan 6, 2022 |
| Last updated in NPPES | Apr 19, 2023 |
| Certified by provider | Apr 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 115 |
|---|---|
| Services billed | 115 across 1 procedure code |
| Paid by Medicare | $74,869 |