| NPI | 1427649680 |
|---|---|
| Former Legal Business Name | ELITE MEDICAL LABORATORY |
| Entity Type | Organization |
| Authorized Contact | OOUIDA C YOUNG Owner 314-630-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2021-03-01 |