Organization
SISTERS OF LOVE LAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIERRA BRUTON (OWNER)
(314) 399-5496
Entity
Organization
Contact information
Practice address
826 UNION BLVD, SAINT LOUIS, MO 63108-1040
(314) 399-5496
Mailing address
5532 PAGE BLVD # 2F, SAINT LOUIS, MO 63112-4124
(314) 399-5496
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000
00000
—
Enumeration date
12/14/2021
Last updated
12/15/2021
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