| NPI | 1609859560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LAW Director 314-768-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D0045374) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: MO 26D0437653) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2023-03-02 |