| NPI | 1225488794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAWED H SIDDIQUI Owner 314-285-3044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO LC001485840) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2016-06-15 |