Organization
WASHINGTON UNIVERSITY
Active
Other names
Clinical Cytogenetics Laboratory, Washington University
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY EGHIGIAN (SENIOR DIRECTOR MANAGED CARE)
(314) 273-0770
Entity
Organization
Contact information
Practice address
4320 FOREST PARK AVE, SUITE 209, SAINT LOUIS, MO 63108-2821
(314) 362-5641
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-5641
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705187201
—
MO
Enumeration date
06/13/2007
Last updated
04/25/2025
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