Organization
WCP LABORATORIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE E FRENZ (BILLING MANAGER)
(314) 991-4313
Entity
Organization
Contact information
Practice address
2326 MILLPARK DR, MARYLAND HEIGHTS, MO 63043-3530
(314) 991-4313
(314) 991-4317
Mailing address
2326 MILLPARK DR, MARYLAND HEIGHTS, MO 63043-3530
(314) 991-4313
(314) 991-4317
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D0913186
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000012921
MEDICARE PTAN
MO
01
—
113515
BLUE CROSS BLUE SHIELD
MO
01
—
131223
HEALTHLINK
MO
01
—
26847
GROUP HEALTH PLAN
MO
05
—
708658307
—
MO
Enumeration date
11/13/2006
Last updated
02/18/2015
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