| NPI | 1184055386 |
|---|---|
| Other Name | LAB |
| Entity Type | Organization |
| Authorized Contact | BHARTUR N PREMACHANDRA President Director 314-845-7345 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |