Organization
360 MEDICAL TESTING SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRA VAUGHN (CEO)
(314) 722-6060
Entity
Organization
Contact information
Practice address
2354 SUCASA DR APT A, FLORISSANT, MO 63031-6613
(314) 722-6060
Mailing address
819 S BELT W, BELLEVILLE, IL 62220-2324
(618) 744-7006
(618) 744-7006
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
—
—
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/27/2025
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