| NPI | 1063750842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASIT ALI SYED Owner 636-253-6682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO LC1286813) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-02-24 |