Bioderm Laboratories LLC
NPI #1134439920 in Saint Joseph, Missouri
Provider Information
- NPI Number
- 1134439920
- Entity Type
- Organization
- Organization Name
- Bioderm Laboratories LLC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Oct 14, 2010
- Last Updated
- Nov 23, 2010
Practice Location
- Address
- 1419 VILLAGE DR
- City
- Saint Joseph
- State
- Missouri
- ZIP Code
- 64506-2459
- Phone
- (816) 364-1507
Authorized Official
- Name
- DR. MELODY LYNN STONE, M.D.
- Title
- OWNER
- Phone
- (816) 364-1507
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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