institution
My Blooming Health Lab, Inc
Clinical Laboratory Director (Non-physician) in Saint Louis, Missouri
NPI 1841945680

My Blooming Health Lab, Inc is a Clinical Laboratory Director (Non-physician) based in Saint Louis, MO and is specialized in Clinical Laboratory Director, Non-physician. My Blooming Health Lab, Inc practices in Saint Louis, MO. The NPI Number for My Blooming Health Lab, Inc is 1841945680 and holds a License No. (Missouri).

The current practice location address for My Blooming Health Lab, Inc is 2040 Woodson Rd Ste 204A, Saint Louis, MO and can be reached out via phone at 314-942-3273 and via fax at 314-584-2205.

Location: 2040 Woodson Rd Ste 204A, Saint Louis, MO, 63114-5697
institution
Provider Profile Details
NPI Number
1841945680
Provider Name
My Blooming Health Lab, Inc
Credential
Provider Entity Type
Organization
Address
2040 Woodson Rd Ste 204A, Saint Louis, MO, 63114-5697
Phone Number
314-942-3273
Fax Number
314-584-2205
Provider Enumeration Date
02/21/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2040 Woodson Rd Ste 204A
City
State
Zip
63114-5697
Phone Number
314-942-3273
Fax Number
314-584-2205
person
Provider Business Mailing Address Details
Address
2040 Woodson Rd Ste 204A
City
State
Zip
63114-5697
Phone Number
314-942-3273
Fax Number
314-584-2205
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
License No.
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Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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