# MISSOURI DIAGNOSTIC SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215397153
- **Authorized official:** ALEEM ABBASI (SECRETARY/ MEMBER)
- **Authorized official phone:** (660) 207-0031

## Contact information

- **Practice address:** 1517 COPPER RD, HOLTS SUMMIT, MO 65043-2033
- **Practice address phone:** (660) 207-0031
- **Practice address fax:** (877) 673-5233
- **Mailing address:** 1517 COPPER RD, HOLTS SUMMIT, MO 65043-2033
- **Mailing address phone:** (660) 207-0031
- **Mailing address fax:** (877) 673-5233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 293D00000X | Physiological Laboratory | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2016
- **Last updated:** 03/04/2016