Organization
BIODERM LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELODY LYNN STONE M.D. (OWNER)
(816) 364-1507
Entity
Organization
Contact information
Practice address
1419 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 364-1507
(816) 364-5711
Mailing address
1419 VILLAGE DR, SAINT JOSEPH, MO 64506-2459
(816) 364-1507
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
26D0445040
MO
Other
Enumeration date
10/14/2010
Last updated
11/23/2010
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