MID STAR LAB INC (NPI# 1043699572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043699572 |
| Entity Type | Organization |
| Organization Name | MID STAR LAB INC |
| Practice Address |
380 Limit St Leavenworth KS 66048-4525 |
| Mailing Address |
10935 Kaw Dr Edwardsville KS 66111-1115 |
| Practice Telephone | 9133698734 |
| Practice Fax Number | 9133692886 |
| Mailing Telephone | 9133698734 |
| Mailing Fax Number | 9133692886 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | KA WAGNER (C) |
| Authorized Official Telephone | 9133698734 |
| Authorized Official Credential | CPED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336613298 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se, Albuquerque, NM 87108-2939 | 2019-01-14 |
| 1386166536 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 4001 Blue Pkwy Ste 98, Kansas City, MO 64130-2315 | 2017-07-10 |
| 1588194054 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 5480 Main St Ste 104, Del City, OK 73115-5518 | 2017-06-15 |
| 1881168748 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 4001 N 3rd St, Phoenix, AZ 85012-2060 | 2019-01-14 |
| 1386118230 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 1702 W Anklam Rd, Tucson, AZ 85745-2606 | 2019-01-14 |
| 1639691884 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 5101 Sw 21st St, Topeka, KS 66604-4419 | 2017-07-10 |
| 1275070419 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 708 S Roosevelt St, Ste 2, Aberdeen, SD 57401-0300 | 2017-01-26 |
| 1831578368 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 5205 E Kellogg Dr, Wichita, KS 67218-1633 | 2015-05-29 |
| 1376922807 | Mid Star Lab Inc | Durable Medical Equipment & Medical Supplies | 3125 Douglas Ave, Des Moines, IA 50310-5365 | 2015-05-29 |
| 1962760405 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 1701 Commerce Rd, Tonganoxie, KS 66086-5369 | 2012-05-02 |
| Street Address |
380 LIMIT ST |
| City | LEAVENWORTH |
| State | KS |
| Zip Code | 66048-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023653854 | Dawn Rishelle Hudson | Registered Nurse | 711 Marshall St., Leavenworth, KS 66048 | 2019-11-15 |
| 1427606706 | Nathan A Laskowski | Dentist | 3507 S 4th St. Trafficway, Leavenworth, KS 66048 | 2019-08-29 |
| 1386100220 | Aligned Health Chiropractic, LLC | Chiropractor | 402 Delware Street, Leavenworth, KS 66048 | 2019-02-15 |
| 1255805917 | Jordan Rachelle Kloepper | Chiropractor | 402 Delaware Street, Leavenworth, KS 66048 | 2019-01-16 |
| 1851862270 | Sarah Jane Wallace | Nurse Practitioner | Saint John Urgent Care, 3550 S 4th St, Ste B, Leavenworth, KS 66048 | 2018-12-11 |
| 1194222034 | Christie Ann Nelson | Psychologist | 4101 4th Street Trafficway, Leavenworth, KS 66048 | 2018-04-08 |
| 1558865782 | Sunflower Counseling Center LLC | Clinic/Center | 205 S 5th St Ste 15, Leavenworth, KS 66048 | 2018-03-21 |
| 1578062824 | Insoon G Hoagland | Marriage & Family Therapist | 205 S 5th St Ste 20, Leavenworth, KS 66048 | 2018-02-01 |
| 1467804542 | Raechel Marie Mackey | Nurse Practitioner | 4101 S 4th St Bldg 160, Leavenworth, KS 66048 | 2016-07-12 |
| 1073969598 | Kristen Simpson | Chiropractor | 211-b Delaware Street, Leavenworth, KS 66048 | 2016-05-13 |
| Find all providers in zip 66048 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205209335 | Wealcan LLC | Prosthetic/Orthotic Supplier | 1612 S 4th St, Leavenworth, KS 66048-3442 | 2015-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417509910 | Professional Orthotic & Prosthetic Services, LLC | Prosthetic/Orthotic Supplier | 410 Grant Ave, Clay Center, KS 67432-2942 | 2019-07-15 |
| 1972063436 | Pwr Physio LLC | Prosthetic/Orthotic Supplier | 12006 W 87th Street Pkwy, Lenexa, KS 66215-2808 | 2019-03-21 |
| 1316482383 | Natural Fit LLC | Prosthetic/Orthotic Supplier | 408 Circle Dr, Suite C, Silver Lake, KS 66539-9520 | 2016-12-30 |
| 1427427913 | Life In Motion Orthotic & Prosthetic Center, Inc. | Prosthetic/Orthotic Supplier | 2601 Central Ave Ste 22, Dodge City, KS 67801-2606 | 2015-09-15 |
| 1447649074 | Horizon Orthotic & Prosthetic Experience Inc | Prosthetic/Orthotic Supplier | 1251 Sw Arrowhead Rd, Suite D, Topeka, KS 66604-4061 | 2015-01-20 |
| 1689010787 | Capitol Orthopedic Inc. | Prosthetic/Orthotic Supplier | 11388 Strang Line Rd, Lenexa, KS 66215-4041 | 2013-05-15 |
| 1306146592 | Accurate Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 311 Fort Riley Blvd, Manhattan, KS 66502-6357 | 2010-10-22 |
| 1447576582 | Urban Studios LLC | Prosthetic/Orthotic Supplier | 820 Commons Place, Manhattan, KS 66503 | 2010-04-14 |
| 1760705156 | University of Kansas Hospital Authority | Prosthetic/Orthotic Supplier | 2330 Shawnee Mission Parkway Ste. 2200, Missys' Boutique, Westwood, KS 66205-2005 | 2010-03-12 |
| 1073742128 | Size and Fit, LLC | Prosthetic/Orthotic Supplier | 1720 N Webb Rd, Suite 110, Wichita, KS 67206-3417 | 2009-07-10 |
| Find all providers with the same taxonomy | ||||
| City | LEAVENWORTH |
| Zip Code | 66048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.