Provider Demographics
NPI:1740042928
Name:CARESTL HEALTH
Entity type:Organization
Organization Name:CARESTL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ARCHIBALD- CLABON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-623-9266
Mailing Address - Street 1:10135 W FLORISSANT AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-2103
Mailing Address - Country:US
Mailing Address - Phone:314-367-5820
Mailing Address - Fax:314-361-2831
Practice Address - Street 1:10135 W FLORISSANT AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-2103
Practice Address - Country:US
Practice Address - Phone:314-367-5820
Practice Address - Fax:314-361-2831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory