NPI 1912387762

Gm South, LLC

Organisation Physiological Laboratory Saint Louis, MO

Practice location

Address: 12152 Tesson Ferry Rd, Saint Louis, MO 63128-1726
Phone: (314) 270-4075
Fax: (314) 270-3347

Authorised official

Name: Missy Bailey
Title: Billing Manager
Phone: (314) 628-1437

Registered specialties

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Missouri →

Registry record

NPI: 1912387762
Entity type: Organization
NPI issued: 8 Jun 2015
Record last updated: 8 Jun 2015

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.