Organization
MYLAB DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIT ALI SYED (OWNER)
(636) 253-6682
Entity
Organization
Contact information
Practice address
448 SOVEREIGN CT STE B, BALLWIN, MO 63011-4445
(636) 373-1349
Mailing address
448 SOVEREIGN CT STE B, BALLWIN, MO 63011-4445
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LC1286813
MO
Other
Enumeration date
01/29/2013
Last updated
02/24/2013
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