Provider Demographics
NPI:1700052248
Name:THOMAS BUSINESS ENTERPRISES INC
Entity Type:Organization
Organization Name:THOMAS BUSINESS ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARSHA
Authorized Official - Middle Name:V
Authorized Official - Last Name:THOMAS-ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-382-9700
Mailing Address - Street 1:23 N OAKS PLZ
Mailing Address - Street 2:SUITE 250
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-2917
Mailing Address - Country:US
Mailing Address - Phone:314-382-9700
Mailing Address - Fax:314-385-2500
Practice Address - Street 1:23 N OAKS PLZ
Practice Address - Street 2:SUITE 250
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-2917
Practice Address - Country:US
Practice Address - Phone:314-382-9700
Practice Address - Fax:314-385-2500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO283934503Medicaid