MIDWEST DIAGNOSTIC SERVICES LLC


Address: 4144 Lindell Blvd, Suite 206, Saint Louis, MO 63108-2927
Phone: 3148759101

MIDWEST DIAGNOSTIC SERVICES LLC (NPI# 1346542388) 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) 1346542388
Entity Type Organization
Organization Name MIDWEST DIAGNOSTIC SERVICES LLC
Practice Address 4144 Lindell Blvd
Suite 206
Saint Louis
MO 63108-2927
Practice Telephone 3148759101
Practice Fax Number 3148759110
Mailing Telephone 3148759101
Mailing Fax Number 3148759110
Enumeration Date 2010-11-24
Last Update Date 2010-11-24
Authorized Official Name VLADIMIR SHAGRAMANOV (PRESIDENT)
Authorized Official Telephone 3148759101
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 4144 LINDELL BLVD
SUITE 206
City SAINT LOUIS
State MO
Zip Code 63108-2927

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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851474 Nigel Austen Thomas Cook Social Worker 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 2020-08-12
1467070011 C2n Diagnostics, LLC Clinical Medical Laboratory 20 South Sarah Street, Saint Louis, MO 63108 2020-07-10
1609414358 Kaylee Breitenbucher Occupational Therapist 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 2019-12-12
1114419546 Activangels Home Health Home Health 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 2018-06-01
1215427349 Heart To Heart Consolidated Home Care Service LLC Home Health 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 2018-05-15
1447755905 Erin Virginia Adams Student in an Organized Health Care Education/Training Program 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 2018-03-27
1033621172 Roots Healthcare and Homes In Home Supportive Care 4300 Enright Ave, St. Louis, MO 63108 2017-10-30
1336661719 House of Destiny Adult Day Care LLC Clinic/Center 4507 Olive Street, St Louis, MO 63108 2017-07-07
1003338492 Khin Min Thu Social Worker 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 2017-07-07
1679093967 Together We Can Home Healthcare Services LLC Home Health 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 2017-06-27
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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
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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
1730653650 Lab One LLC Clinical Medical Laboratory 2325 Dougherty Ferry Rd Ste 103, Saint Louis, MO 63122-3356 2019-01-14
1154844124 Quantox Lab LLC Clinical Medical Laboratory 4633 World Parkway Cir Ste 103, Saint Louis, MO 63134-3115 2017-07-21
1093179210 Pieriandx, Inc Clinical Medical Laboratory 77 Maryland Plz, Saint Louis, MO 63108-1501 2016-04-13
1861862799 Central Diagnostic Lab LLC Clinical Medical Laboratory 456 N New Ballas Rd Ste 196, Saint Louis, MO 63141-6812 2015-10-05
1689082570 Toxic Diagnostic Services LLC Clinical Medical Laboratory 1853 Craig Rd, Saint Louis, MO 63146-4711 2014-07-24
1013336619 Lcdc, LLC Clinical Medical Laboratory 3641 Juniata St, Saint Louis, MO 63116-4809 2014-04-10
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Competitor

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City SAINT LOUIS
Zip Code 63108

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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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