Organization · Type 2 NPI

Prime Health Supply LLC

Clinical Medical Laboratory · St. Louis, MO

NPI number 1689503633 Active

Practice location

1023 Executive Parkway Dr, Ste 7
St. Louis, MO 63141-6323

Call (636) 252-0703 Map

Mailing address

15009 Manchester Pmb 113
Ballwin, MO 63011

Specialties and licenses

TaxonomyCodeLicense
Clinical Medical Laboratory Primary 291U00000XNone listed
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1689503633

Prime Health Supply LLC's National Provider Identifier is 1689503633, issued on May 15, 2026. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in St. Louis, MO. The record was last updated on Oct 7, 2026.