Organization
ZIVA MEDICAL LAB MO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA SHURTZ (CEO)
(573) 570-3555
Entity
Organization
Contact information
Practice address
620 E MONROE ST, MEXICO, MO 65265-2919
(573) 570-3516
(573) 675-6040
Mailing address
PO BOX 197, LAKEWOOD, NJ 08701-0197
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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