Provider Demographics
NPI:1982285250
Name:PIERIANDX, INC
Entity Type:Organization
Organization Name:PIERIANDX, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP COMMERCIAL TRANSACTIONS
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-628-0035
Mailing Address - Street 1:6 CITYPLACE DR STE 550
Mailing Address - Street 2:
Mailing Address - City:CREVE COEUR
Mailing Address - State:MO
Mailing Address - Zip Code:63141-7209
Mailing Address - Country:US
Mailing Address - Phone:314-628-0035
Mailing Address - Fax:
Practice Address - Street 1:26797 HANNA RD STE 1
Practice Address - Street 2:
Practice Address - City:OAK RIDGE NORTH
Practice Address - State:TX
Practice Address - Zip Code:77385-6628
Practice Address - Country:US
Practice Address - Phone:314-628-0035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PIERIANDX, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory