Thyroid Specialty Laboratory INC

NPI #1396175196 in Fenton, Missouri

Provider Information

NPI Number
1396175196
Entity Type
Organization
Organization Name
Thyroid Specialty Laboratory INC
Subpart
Yes (part of a larger organization)
Parent Organization
THYROID SPECIALTY LABORATORY, INC.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Nov 15, 2013
Last Updated
Sep 23, 2021

Practice Location

Address
1636 HEADLAND DR
City
Fenton
ZIP Code
63026-2837
Phone
(314) 200-3040

Authorized Official

Name
MARCIA ECKRICH
Title
DIRECTOR OF COMPLIANCE & CREDENTIAL
Phone
(314) 200-3040

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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