MEDICARE: CARESTL HEALTH

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

General Provider Information

NPI Number	:	1508444308
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARESTL HEALTH

Provider Business Mailing Address
First Line	:	CARESTL HEALTH LAB
Second Line	:	4500 POPE AVE
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-2512
Country	:	US
Telephone Number	:	313-385-3990
Fax Number	:

Provider Business Practice Location Address
First Line	:	CARESTL HEALTH LAB
Second Line	:	4500 POPE AVE
City	:	SAINT LOUIS
State	:	MO
Zip	:	63115-2512
Country	:	US
Telephone Number	:	313-385-3990
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING
Name	:	MRS. BRIGITTE C. CURTIS
Credential	:
Telephone Number	:	314-367-5820

Provider Enumeration Date	:	04/01/2021
Last Update Date	:	09/29/2021

Similar Medicare Providers

1609245448 — CARESTL HEALTH
Practice Location Address:

4500 POPE AVE
SAINT LOUIS, MO
63115-2512

Practice Phone: 314-367-5820
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1790560993 — JENNA WOODSIDE MOT/R
Practice Location Address:

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1285443291 — NYA NICOLE HUNTER
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1558162313 — OPEN WINGS IN HOME CARE, LLC
Practice Location Address:

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Directions to “CARESTL HEALTH ” Practice Location

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