OrganizationActive
Central Missouri Diagnostic Services, LLC
NPI 1073868808 · Clinical Medical Laboratory · Jefferson City, MO
Provider details
- NPI number
- 1073868808
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Katie Ortbals, Laboratory Manager(573) 659-5460
Specialties & taxonomies
Laboratories
Practice location
1705 Christy Dr
Suite 105
Jefferson City, MO 65101-5195
Phone: (573) 659-5460
Fax: (573) 659-5463
Approximate (ZIP-level) locationGet directions
Mailing address
1705 Christy Dr
Jefferson City, MO 65101-5195
Registry dates
- Enumerated
- 2012-07-18
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.