Central Missouri Diagnostic Services, LLC
NPI #1073868808 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1073868808
- Entity Type
- Organization
- Organization Name
- Central Missouri Diagnostic Services, LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 18, 2012
- Last Updated
- Jul 18, 2012
Practice Location
- Address
- 1705 CHRISTY DR
- Address 2
- SUITE 105
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-5195
- Phone
- (573) 659-5460
Authorized Official
- Name
- MRS. KATIE J. ORTBALS
- Title
- LABORATORY MANAGER
- Phone
- (573) 659-5460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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