Organization
WAYNEMEDICAL CENTER LLC LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A GAYLE M.D. (DIRECTOR)
(573) 223-4233
Entity
Organization
Contact information
Practice address
RR 4 BOX 4515, PIEDMONT, MO 63957-9417
(573) 223-4233
(573) 223-2136
Mailing address
RR 4 BOX 4515, PIEDMONT, MO 63957-9417
(573) 223-4233
(573) 223-2136
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701080608
—
MO
Enumeration date
12/07/2005
Last updated
06/16/2008
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