| NPI | 1205790128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTA KANICA MORRIS Owner 314-300-8104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246QL0900X Spec/Tech, Pathology, Laboratory Management |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |