NPI | 1427654219 |
---|---|
Other Name | ST LUKE'S REGIONAL MEDICAL CENTER LAB |
Entity Type | Organization |
Authorized Contact | CARISSA MARIE HOLTON Provider Enrollment 712-279-1839 |
Organization Subpart ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
Enumeration Date | 2020-12-08 |
Last Update Date | 2020-12-08 |