Organization
ELITE DIAGNOSTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NAVEEN NALLAMOTHU (OWNER)
(510) 896-0805
Entity
Organization
Contact information
Practice address
1853 CRAIG RD, SAINT LOUIS, MO 63146-4711
(314) 485-1327
(314) 485-1227
Mailing address
1853 CRAIG RD, SAINT LOUIS, MO 63146-4711
(314) 485-1327
(314) 485-1227
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
12/03/2023
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