Organization
QUANTUM LABORATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVESTER WILLIAMS (OWNER)
(618) 207-7921
Entity
Organization
Contact information
Practice address
3466 BRIDGELAND DR, BRIDGETON, MO 63044-2626
(618) 207-7921
Mailing address
3466 BRIDGELAND DR STE 100, BRIDGETON, MO 63044-2600
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
05/13/2020
Last updated
07/07/2020
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