Organization
BIOLOGICAL TECHNOLOGY LABORATORY INC
Active
Other names
BIOTECH LAB
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOSEPH HUNT (TREASURER)
(314) 432-5030
Entity
Organization
Contact information
Practice address
10114 WOODFIELD LN, SAINT LOUIS, MO 63132-2923
(314) 432-5030
(314) 373-8060
Mailing address
10114 WOODFIELD LN, SAINT LOUIS, MO 63132-2923
(314) 432-5030
(314) 373-8060
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050000008
BLUE CROSS BLUE SHIELD IL
IL
01
—
31254
BLUE CROSS BLUE SHIELD MO
MO
Enumeration date
05/10/2006
Last updated
04/20/2008
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