Organization · NPI-2

360 Medical Testing Solutions LLC

Technician, Pathology, Phlebotomy · Florissant, MO

NPI number1831961036
StatusActive
Last updated in NPPESOct 27, 2025

Details

NPI
1831961036
Entity type
Organization (NPI-2)
Legal business name
360 Medical Testing Solutions LLC
Organization subpart
No
Enumeration date
Oct 23, 2023
Certification date
Oct 27, 2025
Last updated
Oct 27, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
246RP1900X Technician, Pathology, Phlebotomy––Yes
246QL0900X Spec/Tech, Pathology, Laboratory Management––

Practice location

2354 Sucasa Dr Apt A
Florissant, MO 63031-6613

Phone 314-722-6060

Mailing address

819 S Belt W
Belleville, IL 62220-2324

Phone 618-744-7006 · Fax 618-744-7006

Authorized official

Andra Vaughn
Ceo
3147226060

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