| NPI | 1609422112 |
|---|---|
| Doing Business As | CRESTWOOD MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2021-03-31 |