| NPI | 1730221664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA RENEE CLABON Chief Executive Officer 314-367-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO 26D1039187) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2018-06-07 |