INTEGRATED MOBILE LAB, LLC


Address: 3863 Hope Haven Dr, Florissant, MO 63034-2039
Phone: 8885066618

INTEGRATED MOBILE LAB, LLC (NPI# 1871884098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871884098
Entity Type Organization
Organization Name INTEGRATED MOBILE LAB, LLC
Practice Address 3863 Hope Haven Dr
Florissant
MO 63034-2039
Practice Telephone 8885066618
Practice Fax Number 8885062102
Mailing Telephone 8885066618
Mailing Fax Number 8885062102
Enumeration Date 2011-04-21
Last Update Date 2011-04-21
Authorized Official Name MISS APRIL JANINE ATKINSON (PHLEBOTOMIST)
Authorized Official Telephone 8885066618
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
Ambulatory Health Care Facilities

Office Location

Street Address 3863 HOPE HAVEN DR
City FLORISSANT
State MO
Zip Code 63034-2039

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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Competitor

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City FLORISSANT
Zip Code 63034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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