MY BLOOMING HEALTH LAB, INC is a clinical laboratory director and non-physician pathology in Saint Louis, MO. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. MY BLOOMING HEALTH LAB, INC NPI is 1841945680. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2040 WOODSON RD STE 204A
SAINT LOUIS, MO
ZIP 63114-697
Phone: (314) 942-3273
Fax: (314) 584-2205
The provider's authorized official is Danita L Smith .
The authorized official title is Owner and has the following contact phone number (314) 942-3272.
The enumeration date for this NPI number is 2/21/2022 and was last updated on 2/24/2022.