Healthcare Provider Details

I. General information

NPI: 1700721313
Provider Name (Legal Business Name): YANG CAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S EUCLID AVE
SAINT LOUIS MO
63110-1010
US

IV. Provider business mailing address

817 LOUWEN DR
SAINT LOUIS MO
63124-1803
US

V. Phone/Fax

Practice location:
  • Phone: 314-273-3225
  • Fax:
Mailing address:
  • Phone: 608-770-3285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: