Organization
ACCURA MEDICAL LABORATORY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRAKOB KARL PONGSPIKUL MT(ASCP), SC, MBA (PRESIDENT)
(636) 978-2228
Entity
Organization
Contact information
Practice address
206 S MAIN ST, O FALLON, MO 63366-2805
(636) 978-2228
(636) 240-0144
Mailing address
206 S MAIN ST, O FALLON, MO 63366-2805
(636) 978-2228
(636) 240-0144
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
26D0691515
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
702946807
—
MO
Enumeration date
03/13/2007
Last updated
06/04/2010
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