Provider Demographics
NPI:1508444308
Name:CARESTL HEALTH
Entity Type:Organization
Organization Name:CARESTL HEALTH
Other - Org Name:CARESTL HEALTH LABORATORY
Other - Org Type:Other Name
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:C
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-367-5820
Mailing Address - Street 1:CARESTL HEALTH LAB
Mailing Address - Street 2:4500 POPE AVE
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63115-2512
Mailing Address - Country:US
Mailing Address - Phone:313-385-3990
Mailing Address - Fax:
Practice Address - Street 1:CARESTL HEALTH LAB
Practice Address - Street 2:4500 POPE AVE
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63115-2512
Practice Address - Country:US
Practice Address - Phone:313-385-3990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Multi-Specialty