| NPI | 1790921088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA BISHOP SCHWARTZ President 314-449-1669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: MO 000047082) |
| Additional Taxonomies | 293D00000X Physiological Laboratory (Licence: IL 216464) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2015-12-30 |