Provider / Organization | NPI | Date Certified |
---|---|---|
TAMIRA EDWARDS | 1467103937 | 2022-01-15 |
Tamira Edwards is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1467103937. Registration indicates Tamira Edwards is a provider of services with a specialization in Laboratories, Clinical Medical Laboratory (Clinical Medical Laboratory, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Clinical Medical Laboratory, Laboratories)
Entity Type | Individual |
Provider Name | Tamira Edwards |
Practice Office Address | 7403 BURCKE DR HAZELWOOD, MO US |
Practice Office Telephone | 3145994270 |
Mailing Address | 7403 BURCKE DR HAZELWOOD, MO 630421416 US |
Code | Practice | License No State |
---|---|---|
291U00000X PRIMARY | Laboratories Clinical Medical Laboratory Clinical Medical Laboratory Diagnostics/Imaging/Laboratory/Mammography Clinical Medical Laboratory Laboratories |