NPI 1336926419

Ziva Medical Lab Mo LLC

Organisation Clinical Medical Laboratory Mexico, MO

Practice location

Address: 620 E Monroe St, Mexico, MO 65265-2919
Phone: (573) 570-3516
Fax: (573) 675-6040
Mailing address: PO Box 197, Lakewood, NJ 08701-0197

Authorised official

Name: Amanda Shurtz
Title: Ceo
Phone: (573) 570-3555

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1336926419
Entity type: Organization
NPI issued: 12 Sep 2023
Record last updated: 12 Sep 2023

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.