Organization
HEALTH VENTURES OF SOUTHERN ILLINOIS LLC
Active
Other names
Tri-Lab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD HUGHES (EXECUTIVE DIRECTOR)
(618) 343-0639
Entity
Organization
Contact information
Practice address
1512 N GREEN MOUNT RD, TRI LAB LLC AT ST ELIZABETHS MEDICAL PARK, O FALLON, IL 62269-1953
(619) 624-3750
(618) 624-8478
Mailing address
PO BOX 790051, SAINT LOUIS, MO 63179-0051
(618) 343-0640
(618) 343-0684
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/19/2006
Last updated
08/22/2020
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