Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

My Blooming Health Lab, Inc

Organization Clinical Laboratory Director (Non-physician) · NPI 1841945680

My Blooming Health Lab, Inc is a Clinical Laboratory Director (Non-physician) in Saint Louis, Missouri. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2040 Woodson Rd Ste 204A
Saint Louis, MO 63114-5697
Phone: (314) 942-3273
Fax: (314) 584-2205
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X

Record details

NPI number1841945680
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danita Smith — Owner · (314) 942-3272
NPI enumeratedFebruary 21, 2022
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address2040 Woodson Rd Ste 204a, Saint Louis, MO 63114-5697

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