Healthcare Provider Details
I. General information
NPI: 1952229411
Provider Name (Legal Business Name): HEMO-HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1015 BOWLES AVE
FENTON MO
63026-2394
US
IV. Provider business mailing address
231 S BEMISTON AVE STE 850
SAINT LOUIS MO
63105-1920
US
V. Phone/Fax
- Phone: 314-258-4812
- Fax:
- Phone: 314-258-4812
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QA0505X |
| Taxonomy | Adult Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOSEPH
MOLESKI
Title or Position: OWNER
Credential:
Phone: 314-258-4812