NPI 1841945680

My Blooming Health Lab, INC

Organisation Clinical Laboratory Director (Non-physician) Saint Louis, MO

Practice location

Address: 2040 Woodson Rd STE 204a, Saint Louis, MO 63114-5697
Phone: (314) 942-3273
Fax: (314) 584-2205

Authorised official

Name: Danita L Smith
Title: Owner
Phone: (314) 942-3272

Registered specialties

Clinical Laboratory Director (Non-physician) Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247ZC0005X

Other Technician, Pathology providers in Missouri →

Registry record

NPI: 1841945680
Entity type: Organization
NPI issued: 21 Feb 2022
Record last updated: 24 Feb 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.