Organization
THYROID SPECIALTY LABORATORY INC
Active
Parent organization
THYROID SPECIALTY LABORATORY, INC.
Other names
TEN Healthcare, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THYROID SPECIALTY LABORATORY, INC.
Authorized official
MARCIA ECKRICH (DIRECTOR OF COMPLIANCE & CREDENTIAL)
(314) 200-3040
Entity
Organization
Contact information
Practice address
1636 HEADLAND DR, FENTON, MO 63026-2837
(314) 200-3040
(314) 200-3042
Mailing address
1636 HEADLAND DR, FENTON, MO 63026-2837
(314) 200-2040
(314) 200-3042
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26D0953866
CLIA
—
05
—
703274407
—
MO
Enumeration date
11/15/2013
Last updated
09/23/2021
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