Healthcare Provider Details

I. General information

NPI: 1245996750
Provider Name (Legal Business Name): GENEOSCOPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2220 WELSCH INDUSTRIAL CT
SAINT LOUIS MO
63146-4222
US

IV. Provider business mailing address

2220 WELSCH INDUSTRIAL CT
SAINT LOUIS MO
63146-4222
US

V. Phone/Fax

Practice location:
  • Phone: 314-887-7777
  • Fax:
Mailing address:
  • Phone: 314-887-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: JACKIE MORIARTY
Title or Position: VICE PRESIDENT OF MARKET ACCESS
Credential:
Phone: 314-887-7777