My Blooming Health Lab, INC

NPI #1841945680 in Saint Louis, Missouri

Provider Information

NPI Number: 1841945680
Entity Type: Organization
Organization Name: My Blooming Health Lab, INC
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Enumeration Date: Feb 21, 2022
Last Updated: Feb 24, 2022

Practice Location

Address: 2040 WOODSON RD STE 204A
City: Saint Louis
State: Missouri
ZIP Code: 63114-5697
Phone: (314) 942-3273

Authorized Official

Name: MS. DANITA L SMITH, RN
Title: OWNER
Phone: (314) 942-3272

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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