NPI 1578712741

John J Pershing VA Medical Center

Organisation Clinical Medical Laboratory Poplar Bluff, MO

Practice location

Address: 1500 N Westwood Blvd, Poplar Bluff, MO 63901-3318
Phone: (573) 778-4244
Fax: (573) 778-4153

Authorised official

Name: Tracie a Eudaley
Title: Lead Medical Technologist
Phone: (573) 778-4244

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 176313 (MO)

Other Clinical Medical Laboratory providers in Missouri →

Registry record

NPI: 1578712741
Entity type: Organization
NPI issued: 12 Sep 2008
Record last updated: 12 Sep 2008

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.