Healthcare Provider Details

I. General information

NPI: 1821493867
Provider Name (Legal Business Name): CYNTHIA LEE MARFISI CT(ASCP)
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2014
Last Update Date: 11/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

915 N GRAND BLVD # JC ANATOMIC PATHOLOGY JC-113
SAINT LOUIS MO
63106-1621
US

IV. Provider business mailing address

915 N GRAND BLVD # JC ANATOMIC PATHOLOGY JC-113
SAINT LOUIS MO
63106-1621
US

V. Phone/Fax

Practice location:
  • Phone: 314-652-4100
  • Fax: 314-289-6572
Mailing address:
  • Phone: 314-652-4100
  • Fax: 314-289-6572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QC2700X
TaxonomyCytotechnology Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: