MHG OUTPATIENT LAB LLC (NPI# 1265789200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265789200 |
| Entity Type | Organization |
| Organization Name | MHG OUTPATIENT LAB LLC |
| Practice Address |
560 W Pine St Farmington MO 63640-1426 |
| Practice Telephone | 5737470544 |
| Practice Fax Number | 5737471962 |
| Mailing Telephone | 5737470544 |
| Mailing Fax Number | 5737471962 |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | GUY DARRON ROBERTS (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 5737471510 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Street Address |
560 W PINE ST |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902251507 | Mineral Area Community Psychiatric Rehabilitation Center, Inc. | Clinic/Center | 560 W Pine St, Farmington, MO 63640-1426 | 2016-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| 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 |
|---|---|---|---|---|
| 1568949436 | Stateline Medical Ar LLC | Clinical Medical Laboratory | 12204 W Highway 62, Farmington, AR 72730-9560 | 2018-07-24 |
| 1609205483 | The Jackson Laboratory | Clinical Medical Laboratory | 10 Discovery Dr, Farmington, CT 06032-2374 | 2013-11-02 |
| 1184957391 | Lovelace Health Systems Inc. Dba S.e.d. Medical Laboratories-farmingto | Clinical Medical Laboratory | 724 W Animas St, Farmington, NM 87401-5617 | 2009-09-08 |
| 1891303053 | Parkland Health Center | Clinical Medical Laboratory | 1101 W Liberty St, Farmington, MO 63640-1921 | 2020-07-14 |
| 1013348523 | Presbyterian Medical Services | Clinical Medical Laboratory | 1001 W Broadway Ste D, Farmington, NM 87401-5638 | 2013-12-09 |
| 1891978219 | The Center for Advanced Reproductive Services, PC | Clinical Medical Laboratory | 2 Batterson Park Rd, Farmington, CT 06032-2568 | 2007-12-07 |
| 1811047210 | Cascade Laboratory | Clinical Medical Laboratory | 33750 Freedom Rd, Farmington, MI 48335-4755 | 2007-01-10 |
| 1427031293 | University Dentists | Clinical Medical Laboratory | 263 Farmington Ave, Oral Pathology Laboratory, Farmington, CT 06030-0001 | 2005-11-25 |
| 1336122100 | University of Connecticut Health Center | Clinical Medical Laboratory | 21 South Rd, Dermatopathology Laboratory, Farmington, CT 06032-2482 | 2005-11-25 |
| 1558344721 | University of Connecticut Health Center | Clinical Medical Laboratory | 263 Farmington Ave, Cytogenetics Laboratory, Farmington, CT 06030-0001 | 2005-11-22 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 63640 |
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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.