Organization
MID-AMERICA TRANSPLANT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DIANE BROCKMEIER (CEO)
(314) 735-8267
Entity
Organization
Contact information
Practice address
1110 HIGHLANDS PLAZA DR E, 100, SAINT LOUIS, MO 63110-1350
(314) 735-8374
(314) 735-8375
Mailing address
1110 HIGHLANDS PLAZA DR E, 100, SAINT LOUIS, MO 63110-1350
(314) 735-8374
(314) 735-8375
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/24/2012
Last updated
07/01/2021
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