Organization
CRESCENT BIOSCIENTIFIC LABATORY INC
Active
Other names
Crescent Bioscientific Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAWEED SHARIFF (CEO)
(732) 277-0603
Entity
Organization
Contact information
Practice address
1300 WICKSTEAD RD, BALLWIN, MO 63011-4428
(618) 964-7406
Mailing address
1300 WICKSTEAD RD, BALLWIN, MO 63011-4428
(618) 964-7406
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
05/20/2022
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