MY BLOOMING HEALTH MOBILE, LLC


Address: 224 N Highway 67, Suite 252, Florissant, MO 63031-5904
Phone: 3149423272

MY BLOOMING HEALTH MOBILE, LLC (NPI# 1205272788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205272788
Entity Type Organization
Organization Name MY BLOOMING HEALTH MOBILE, LLC
Practice Address 224 N Highway 67
Suite 252
Florissant
MO 63031-5904
Practice Telephone 3149423272
Practice Fax Number 3145842205
Mailing Telephone 3149423272
Mailing Fax Number 3145842205
Enumeration Date 2013-05-10
Last Update Date 2017-01-10
Authorized Official Name MS. DANITA L SMITH (DIRECTOR)
Authorized Official Telephone 3149423272
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM2500X Clinic/Center
Specialization: Medical Specialty
1309649 MO Ambulatory Health Care Facilities
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider Identifier

State Issuer Identifier Type Code
MO 1080096 05

Office Location

Street Address 224 N HIGHWAY 67
SUITE 252
City FLORISSANT
State MO
Zip Code 63031-5904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245532894 Tia Jenice Morris Social Worker 224 N Highway 67, Ste. #217, Florissant, MO 63031-5904 2010-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528550019 A Precious Home Care Solution Cds LLC Home Health 2367 Periwinkle Court, Florisant, MO 63031 2018-05-31
1932625415 Haven of Grooming Specialist 51 Florissant Oaks Shop Center, Florissant, MO 63031 2017-08-16
1841696648 Deandra's Angels Home Care Home Health 1985 Lindsay Lane, Florissant, MO 63031 2014-11-06
1871907378 Daniel Joseph Watson Ophthalmology 900 N Highway 67 St, Florissant, MO 63031 2014-06-12
1124449954 Edgar Micere Occupational Therapy Assistant 1 Paul Place Ct, Florissant, MO 63031 2013-12-20
1699019190 Dushanas Touch of Love Transportation L.l.c Non-emergency Medical Transport (VAN) 3011 Oriental Dr, Florissant, MO 63031 2012-11-21
1790038321 Pleasant Solutions Home Health Care,llc Community Based Residential Treatment Facility, Mental Illness 100 Rue St. Francios Suite 107, Saint Louis, MO 63031 2012-10-19
1114279460 Access Dental & Dentures LLC Dentist 565 Howdershell Rd, Florissant, MO 63031 2012-10-11
1982980843 Lauren Heimberger Pharmacist 15390 New Halls Ferry, Florissant, MO 63031 2011-10-24
1578878732 North County Adult Center LLC Registered Nurse 500 Greenway Manor Dr, Florissant, MO 63031 2010-08-12
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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225488794 Midwest Laboratory Services LLC Clinical Medical Laboratory 11115 New Halls Ferry Rd Ste 206, Florissant, MO 63033-7612 2016-06-15
1164881637 Phlebotomy Bosses Clinical Medical Laboratory 224 N Highway 67 St, Florissant, MO 63031-5904 2016-02-12
1134452246 Seyer Oral Pathology, LLC Clinical Medical Laboratory 3774 Afsharis Cir, Florissant, MO 63044-1535 2009-09-09
1821534298 Danita Smith Clinical Medical Laboratory 224 N Highway 67 St, Suite 252, Florissant, MO 63031-5904 2017-01-10
1801133178 Apex Toxicology Clinical Medical Laboratory 11115 New Halls Ferry Rd, Suite 202, Florissant, MO 63033-7613 2013-01-07
1063597664 Sharad P. Parikh M.d. Clinical Medical Laboratory 11905 W Florissant Ave, Suite 100, Florissant, MO 63033-6778 2006-10-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962009498 Polk Medical Testing Solutions LLC Clinical Medical Laboratory 3430 Mckelvey Rd Ste L, Bridgeton, MO 63044-2556 2020-10-07
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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Competitor

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City FLORISSANT
Zip Code 63031

Improve Information

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Dataset Information

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.

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