MID STAR LAB INC (NPI# 1336613298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336613298 |
| Entity Type | Organization |
| Organization Name | MID STAR LAB INC |
| Practice Address |
401 Alvarado Dr Se Albuquerque NM 87108-2939 |
| Mailing Address |
1701 Commerce Rd Tonganoxie KS 66086-5369 |
| Practice Telephone | 9133698734 |
| Mailing Telephone | 9133698734 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Authorized Official Name | KARI WAGNER (CEO) |
| Authorized Official Telephone | 9133698734 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1043699572 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 380 Limit St, Leavenworth, KS 66048-4525 | 2015-05-29 |
| 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 |
401 ALVARADO DR SE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87108-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274393 | Aubrey Bunnenberg | Behavior Technician | 114 Pennsyvlania St. Ne Apt. 1, Albuquerque, NM 87108 | 2020-08-06 |
| 1336757301 | Dailey Doss | Physician Assistant | Raymond G. Murphy Va Medical Center, 1501 San Pedro Se, Albuquerque, NM 87108 | 2020-07-16 |
| 1457990046 | Christine Lovato | Registered Nurse | Albuquerque Treatment Services LLC, 123 Madeira Dr Se, Albuquerque, NM 87108 | 2019-12-30 |
| 1265074405 | Andrew Jacob Reuter | Pharmacist | 3816 Copper Ave Ne, Unit A, Albuquerque, NM 87108 | 2019-10-09 |
| 1518517325 | Lillian Abeyta | Technician | 1501 San Pedro Dr Se., Albuquerque, NM 87108 | 2019-09-13 |
| 1962970061 | Donald Borrego | Occupational Therapy Assistant | 5200 Copper Ne, #7, Albuquerque, NM 87108 | 2018-11-06 |
| 1154808012 | Catalina Castro | Social Worker | 209 San Pablo Se, Albuquerque, NM 87108 | 2018-07-24 |
| 1942721048 | Walgreen Co | Pharmacy | 933 San Mateo Blvd Ne Ste 501, Albuquerque, NM 87108 | 2017-06-29 |
| 1467981860 | Jennifer Martinez | Behavior Technician | 628 Espanola Se, Albuquerque, NM 87108 | 2017-06-08 |
| 1457892465 | J Dowd Counseling LLC | Counselor | 514 Monroe Street Se, Albuquerque, NM 87108 | 2017-03-10 |
| Find all providers in zip 87108 | ||||
| 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 |
|---|---|---|---|---|
| 1700347358 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se Ste C, Albuquerque, NM 87108-2939 | 2019-03-27 |
| 1831653831 | Rio Grande Orthotics and Prosthetics | Prosthetic/Orthotic Supplier | 4824 Mcmahon Blvd Nw Ste 112, Albuquerque, NM 87114-5412 | 2019-01-24 |
| 1548679897 | Functional Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 5111 Juan Tabo Blvd Ne Ste A, Albuquerque, NM 87111-2672 | 2014-08-11 |
| 1104187855 | Lower Extremity International LLC | Prosthetic/Orthotic Supplier | 9428 Lexington Ave Ne Suite E, Albuquerque, NM 87112-1375 | 2012-05-30 |
| 1639488588 | Estetica De Ella Salon (cranial Prosthesis) | Prosthetic/Orthotic Supplier | 2510 San Mateo Pl Ne, Albuquerque, NM 87110-4064 | 2010-09-27 |
| 1528276318 | Albuquerque Orthotics & Prosthetics | Prosthetic/Orthotic Supplier | 4909 Ellison St Ne, Suite A, Albuquerque, NM 87109-4331 | 2007-05-18 |
| 1740236819 | Active Life Inc | Prosthetic/Orthotic Supplier | 124 Alvarado Dr Se, Albuquerque, NM 87108-2940 | 2006-05-26 |
| 1902883473 | Prosthetic Orthotic Specialists, Inc | Prosthetic/Orthotic Supplier | 5095 Ellison St Ne, Albuquerque, NM 87109-4326 | 2005-12-27 |
| 1891354197 | Active Life Orthotics and Prosthetics Corp | Prosthetic/Orthotic Supplier | 124 Alvarado Dr Se, Albuquerque, NM 87108-2940 | 2019-06-10 |
| 1528506821 | Active Life Orthotics and Prosthetics Corp. | Prosthetic/Orthotic Supplier | 6211 San Mateo Blvd Ne, Suite 150, Albuquerque, NM 87109-3533 | 2017-02-07 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87108 |
Please comment or provide details below to improve the information on MID STAR LAB INC.
| 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.