Missouri Diagnostic Services, LLC

Organization Active NPI Physiological Laboratory · Holts Summit, MO

NPI 1215397153 · NPPES record last updated Mar 4, 2016

Key facts

NPI
1215397153
Entity type
Organization (NPI type 2)
Primary specialty
Physiological Laboratory 293D00000X
Legal business name
MISSOURI DIAGNOSTIC SERVICES, LLC
Practice address
1517 Copper Rd
Holts Summit, MO 65043-2033
Phone
(660) 207-0031
Fax
(877) 673-5233
NPI assigned
Mar 4, 2016
Organization subpart
No

Authorized official

Name
Aleem Abbasi
Title
Secretary/ Member
Phone
(660) 207-0031

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Missouri Diagnostic Services LLC (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Yes

Addresses

Primary practice location

1517 Copper Rd
Holts Summit, MO 65043-2033

Mailing address

1517 Copper Rd
Holts Summit, MO 65043-2033
Phone (660) 207-0031

Other providers in Holts Summit, MO

All providers in Holts Summit, MO · Physiological Laboratory in Missouri

Sources for this page

Verify at the official NPI Registry.