| NPI | 1215008396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LYTTLE Executive Director 314-991-4313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D0652071) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |