| NPI | 1255539888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MARTIN Manager 314-991-3556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: MO R6748) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2020-08-22 |