Organization
CITY DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTAY K REED (OWNER)
(314) 853-0469
Entity
Organization
Contact information
Practice address
1408 N KINGSHIGHWAY BLVD, SUITE 224, SAINT LOUIS, MO 63113-1400
(314) 696-2489
(314) 667-3212
Mailing address
1408 N KINGSHIGHWAY BLVD, SUITE 224, SAINT LOUIS, MO 63113-1400
(314) 696-2489
(314) 667-3212
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
LC001491707
MO
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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