Healing Waters Labcorp Llc

LBN: Healing Waters Labcorp Llc
Healing Waters Labcorp Llc is an health care organization with primary practice located at 1777 N New Florissant Rd , Florissant MO 63033-1905. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Healing Waters Labcorp Llc can be contacted via phone (314) 755-1403, or through Harris, Adrienne via phone (314) 397-6197.

Contact Information

Primary practice address
1777 N New Florissant Rd Florissant MO 63033-1905
Fax: (314) 689-0131
Website:
Authorized official contact:
Name: Harris, Adrienne

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1740919315
LBN Legal business name Healing Waters Labcorp Llc
DBA Doing business as
Authorized official Harris, Adrienne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2022
Last updated Jun 8th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740919315 NPPES
Missouri MEDICAID 06082022

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