| NPI | 1194695932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASSMA DAVIS Register Nurse/ Lab Director 314-948-4602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 172A00000X Driver | |
| 163W00000X Registered Nurse | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory | |
| 246Z00000X Specialist/Technologist, Other | |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-12-10 |