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26D2057939 CLIA NUMBER - DANIEL R JASPER MD LLC

Laboratory Demographics

CLIA Number: 26D2057939

Facility Name: DANIEL R JASPER MD LLC

Facility Address:
555 N NEW BALLAS, SUITE 250
SAINT LOUIS, MO
ZIP 63141
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Facility Phone Number: 314 872-8822

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1770822504

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 26D2057939
LAB Type Physician Office
Facility Name DANIEL R JASPER MD LLC
Street 555 N NEW BALLAS, SUITE 250
City SAINT LOUIS
State MO
ZIP 63141
Phone 314 872-8822
CertificateType 4
CertificateEffectiveDate 4/25/2023
CertificateExpirationDate 4/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024