| NPI | 1033239413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ECKRICH Director Of Credentialing 314-200-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D0953866) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2023-10-11 |