Organization
ASAP LABORATORY AND DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY L WYATT (CO-OWNER)
(314) 808-5083
Entity
Organization
Contact information
Practice address
12800 BOENKER LANE, BRIDGETON, MO 63044
(314) 808-5083
(314) 551-0336
Mailing address
12800 BOENKER LANE, BRIDGETON, MO 63044
(314) 808-5083
(314) 551-0336
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LC001426432
MO
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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