NPI 1063168656

Crescent Bioscientific Labatory INC

Organisation Clinical Medical Laboratory Ballwin, MO

Practice location

Address: 1300 Wickstead Rd, Ballwin, MO 63011-4428
Phone: (618) 964-7406

Authorised official

Name: Jaweed Shariff
Title: Ceo
Phone: (732) 277-0603

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Missouri →

Registry record

NPI: 1063168656
Entity type: Organization
NPI issued: 23 Feb 2022
Record last updated: 20 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.