| NPI | 1780072991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES STEVENS MATHIS General Practice 573-218-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MO R3457) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |