Organization
EXCEL DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADIA SIDIKI (MEDICAL BILLER)
(636) 614-5754
Entity
Organization
Contact information
Practice address
1451 MULLANPHY ST, SAINT LOUIS, MO 63106-3114
(636) 633-9768
Mailing address
1451 MULLANPHY ST, SAINT LOUIS, MO 63106-3114
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LC001637603
LICENSE
—
Enumeration date
05/09/2019
Last updated
05/09/2019
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