| NPI | 1578712741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACIE A EUDALEY Lead Medical Technologist 573-778-4244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 176313) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |