WAYNEMEDICAL CENTER LLC LAB (NPI# 1134104789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134104789 |
| Entity Type | Organization |
| Organization Name | WAYNEMEDICAL CENTER LLC LAB |
| Practice Address |
Rr 4 Box 4515 Piedmont MO 63957-9417 |
| Practice Telephone | 5732234233 |
| Practice Fax Number | 5732232136 |
| Mailing Telephone | 5732234233 |
| Mailing Fax Number | 5732232136 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | DR. DAVID A GAYLE (DIRECTOR) |
| Authorized Official Telephone | 5732234233 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 701080608 | 05 |
| Street Address |
RR 4 BOX 4515 |
| City | PIEDMONT |
| State | MO |
| Zip Code | 63957-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992792329 | David Andrew Gayle | Family Medicine | Rr 4 Box 4515, Piedmont, MO 63957 | 2005-09-30 |
| 1750702916 | Shana Winchester | Registered Nurse | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2013-12-13 |
| 1912154998 | Rhonda K Adams | Nurse Practitioner | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2008-08-21 |
| 1689831505 | Clearwater Health Resources Inc | Durable Medical Equipment & Medical Supplies | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2008-05-19 |
| 1437372315 | Robert Gayle | Pharmacist | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2007-04-10 |
| 1861615056 | James Richard Gronski | Pharmacist | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2007-04-10 |
| 1083775860 | Wayne Medical Center LLC | Clinic/Center | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2006-12-13 |
| 1558305789 | Samuel W Ferreri | Family Medicine | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2006-06-16 |
| 1932148558 | Mary Hutchison | Social Worker | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2006-06-06 |
| 1932185691 | Kimberly A Haley | Nurse Practitioner | Rr 4 Box 4515, Piedmont, MO 63957-9417 | 2005-12-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624323 | Toney Drug & Wellness, LLC | Pharmacy | #1 Hals Plaza Dr, Piedmont, MO 63957 | 2019-11-19 |
| 1700432838 | April Dawn Gibson | Behavior Technician | 306 North 2nd Street, Piedmont, MO 63957 | 2019-08-14 |
| 1457844748 | Town and Country Super Market Inc | Pharmacy | #7 Hal's Plaza, Piedmont, MO 63957 | 2018-06-11 |
| 1528588522 | Ashley Dawn Janecek | Case Manager/Care Coordinator | 306 N Second St, Piedmont, MO 63957 | 2017-06-21 |
| 1649587031 | Joseph Michael Toney | Family Medicine | #1 Hals Plaza Drive, Piedmont, MO 63957 | 2010-09-07 |
| 1184825770 | Clearwater Ambulance District | Ambulance | 117 B, Piedmont, MO 63957 | 2007-05-30 |
| 1629129457 | Roy Eugene Winters | Pharmacist | #1hals Plaza, Piedmont, MO 63957 | 2007-01-16 |
| 1386655322 | Toneys Drug & Wellness, LLC | Pharmacy | 1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-08-11 |
| 1407880099 | Michael P Toney | Family Medicine | #1 Hal's Plaza Drive, Piedmont, MO 63957 | 2006-07-10 |
| 1972549053 | Poplar Bluff Regional Medical Center LLC | Clinic/Center | #1 Hal's Plaza, Piedmont, MO 63957 | 2006-06-20 |
| Find all providers in zip 63957 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831228097 | Carolina Diagnostic Services | Clinical Medical Laboratory | 3320 Highway 153, Ste B, Piedmont, SC 29673-6713 | 2007-03-05 |
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| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1942825633 | Midwest Innovation Laboratory LLC | Clinical Medical Laboratory | 763 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8704 | 2020-06-09 |
| 1588288815 | Mobile Response Diagnostics LLC | Clinical Medical Laboratory | 7739 Folk Ave, Maplewood, MO 63143-1116 | 2020-06-02 |
| 1740801893 | Kbn Diagnostics, LLC | Clinical Medical Laboratory | 11612 Oak St, Kansas City, MO 64114-5623 | 2020-04-29 |
| 1477172062 | David Eric Arnold | Clinical Medical Laboratory | 2309 Time Centre Dr, Saint Charles, MO 63303-2104 | 2020-04-13 |
| 1104474360 | Mmi Laboratory Services, LLC | Clinical Medical Laboratory | 1927 S National Ave Ste A, Springfield, MO 65804-2279 | 2019-08-30 |
| 1265084206 | Helix Specialty Diagnostics | Clinical Medical Laboratory | 2515 Bernadette Dr, Columbia, MO 65203-4674 | 2019-07-10 |
| 1851955934 | Precision Labs LLC | Clinical Medical Laboratory | 12855 N Outer 40 Dr Ste 194, Saint Louis, MO 63141-8622 | 2019-04-24 |
| 1316407265 | Integrity Diagnostics LLC | Clinical Medical Laboratory | 12855 N 40 Dr Ste 345, Saint Louis, MO 63141-8622 | 2019-03-25 |
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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.