MEDICARE: LII-MEI B TSAI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	35723	MO

General Provider Information

NPI Number	:	1447295993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LII-MEI B TSAI MD

Provider Business Mailing Address
First Line	:	731 THE HAMPTONS LN
Second Line	:
City	:	CHESTERFIELD
State	:	MO
Zip	:	63017-5901
Country	:	US
Telephone Number	:	314-645-6454
Fax Number	:	314-872-8069

Provider Business Practice Location Address
First Line	:	11710 ADMINISTRATION DR
Second Line	:	SUITE #22
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3407
Country	:	US
Telephone Number	:	314-645-6454
Fax Number	:	314-872-8069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	07/08/2007

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