MID STAR LAB INC (NPI# 1376922807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376922807 |
| Entity Type | Organization |
| Organization Name | MID STAR LAB INC |
| Practice Address |
3125 Douglas Ave Des Moines IA 50310-5365 |
| Mailing Address |
1701 Commerce Rd Tonganoxie KS 66086-5369 |
| Practice Telephone | 9133698734 |
| Practice Fax Number | 9133692886 |
| Mailing Telephone | 9133698734 |
| Mailing Fax Number | 9133692886 |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | KARI WAGNER (CEO) |
| Authorized Official Telephone | 9133698734 |
| Authorized Official Credential | C. PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336613298 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 401 Alvarado Dr Se, Albuquerque, NM 87108-2939 | 2019-01-14 |
| 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 |
| 1962760405 | Mid Star Lab Inc | Prosthetic/Orthotic Supplier | 1701 Commerce Rd, Tonganoxie, KS 66086-5369 | 2012-05-02 |
| Street Address |
3125 DOUGLAS AVE |
| City | DES MOINES |
| State | IA |
| Zip Code | 50310-5365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427338573 | Peladija Mary Woodson | Counselor | 3125 Douglas Ave, Suite 100, Des Moines, IA 50310-5365 | 2011-08-21 |
| 1366873101 | Michael Stout | Counselor | 3125 Douglas Ave, Des Moines, IA 50310-5365 | 2013-12-04 |
| 1275887275 | Lindsey Olsen | Community/Behavioral Health | 3125 Douglas Ave, Suite 100, Des Moines, IA 50310-5365 | 2012-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295392082 | Cofe Amera LLC | Meals | 4940 Franklin Ave., Des Moines, IA 50310 | 2019-05-28 |
| 1790237444 | Shannon Schneider | Occupational Therapy Assistant | 3802 Hillcrest Dr, Des Moines, IA 50310 | 2016-10-28 |
| 1013261874 | Department of Veterans Affairs Central Iowa Health Care System | Long Term Care Hospital | 3011 Aurora Ave, Des Moines, IA 50310 | 2012-11-01 |
| 1700095551 | Real Optics Inc | Eyewear Supplier (Equipment, not the service) | 100 Merle Hay Road, Merle Hay Mall, Des Moines, IA 50310 | 2007-05-21 |
| 1184776023 | Mosaic | Intermediate Care Facility, Mentally Retarded | 4201 41st Street, Des Moines, IA 50310 | 2007-01-18 |
| 1639237951 | Terry D. Huseman Od PC | Optometrist | 3800 Merle Hay Rd #501, Des Moines, IA 50310 | 2006-12-06 |
| 1386710259 | Mosier Dental Associates | Dentist | 1816 Beaver Ave, Des Moines, IA 50310 | 2006-11-24 |
| 1194828632 | James Matthew Talone | Psychologist | Va Cihcs (116a), 3600 30th St, Des Moines, IA 50310 | 2006-09-07 |
| 1437251824 | Mary Cynthia Chicoine | Social Worker | 3601 Douglas Ave, Des Moines, IA 50310 | 2006-09-05 |
| 1508978602 | Chadwick Aaron Johnson | Dentist | 3710 Merle Hay Road, Des Moines, IA 50310 | 2006-08-31 |
| Find all providers in zip 50310 | ||||
| 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 |
|---|---|---|---|---|
| 1700888773 | Spectrum Prosthetics & Orthotics | Prosthetic/Orthotic Supplier | 1300 Des Moines St Ste 101, Des Moines, IA 50309-5547 | 2005-08-10 |
| 1659342871 | American Prosthetics & Orthotics, Inc | Prosthetic/Orthotic Supplier | 1215 Pleasant St, Suite 610, Des Moines, IA 50309-1416 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723697 | Clark and Associates, Inc | Prosthetic/Orthotic Supplier | 3385 Dexter Ct Ste 107, Davenport, IA 52807-3494 | 2019-01-09 |
| 1851767735 | Chladek O & P Inc | Prosthetic/Orthotic Supplier | 3007 86th Street, Urbandale, IA 50322-4001 | 2015-08-14 |
| 1245632686 | American Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 215 Duff Ave, Ames, IA 50010-6637 | 2014-09-17 |
| 1073924155 | Eyeprint Prosthetics | Prosthetic/Orthotic Supplier | 2221 Oak Rd Ne, North Liberty, IA 52317-9365 | 2014-05-12 |
| 1336561737 | Patrick Lavern Holt | Prosthetic/Orthotic Supplier | 1454 N Federal Ave, Mason City, IA 50401-1268 | 2014-01-20 |
| 1396177721 | Chi National Home Care | Prosthetic/Orthotic Supplier | 401 6th St, Suite A, Corning, IA 50841-1613 | 2013-08-08 |
| 1699107029 | Chi National Home Care | Prosthetic/Orthotic Supplier | 405 S Fremont St, Shenandoah, IA 51601-1505 | 2013-08-08 |
| 1902159858 | Shoe Mate | Prosthetic/Orthotic Supplier | 1011 88th St, West Des Moines, IA 50266-5857 | 2012-10-16 |
| 1548494743 | Heartland Laboratories Inc | Prosthetic/Orthotic Supplier | 4025 University Ave, Waterloo, IA 50701-5639 | 2009-05-04 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50310 |
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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.