Organization
MEDCOMP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY C LAKE (PRESIDENT)
(314) 570-9337
Entity
Organization
Contact information
Practice address
2900 LEMAY FERRY RD, SAINT LOUIS, MO 63125-3900
(314) 570-9337
Mailing address
13 GODWIN LN, SAINT LOUIS, MO 63124-1524
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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