| NPI | 1093179210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JOHN BREDEMEYER Director, Customer Operations 314-628-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D2101152) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2017-10-12 |