Organization · Type 2 NPI
My Blooming Health Lab, Inc
Clinical Laboratory Director (Non-physician) · St. Louis, MO
NPI number
1841945680
Active
Practice location
2040 Woodson Rd Ste 204A
St. Louis, MO 63114-5697
Fax (314) 584-2205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None listed |
Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Other clinical laboratory director (non-physician) providers in St. Louis
About NPI 1841945680
My Blooming Health Lab, Inc's National Provider Identifier is 1841945680, issued on Feb 21, 2022. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in St. Louis, MO. The record was last updated on Feb 24, 2022.