| NPI | 1780657023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology |
| 207ZB0001X Pathology Blood Banking & Transfusion Medicine | |
| 207ZC0500X Pathology Cytopathology | |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2021-09-21 |