MID STAR LAB INC (NPI# 1386118230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386118230 |
| Entity Type | Organization |
| Organization Name | MID STAR LAB INC |
| Practice Address |
1702 W Anklam Rd Tucson AZ 85745-2606 |
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
1702 W ANKLAM RD |
| City | TUCSON |
| State | AZ |
| Zip Code | 85745-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346240843 | Fredelito B Tiu | Emergency Medicine | 1702 W Anklam Rd, Suite 110, Tucson, AZ 85745-2606 | 2005-07-26 |
| 1902184112 | Takyar, Pllc. | Internal Medicine | 1702 W Anklam Rd, Suite 111, Tucson, AZ 85745-2606 | 2011-07-22 |
| 1790996858 | Kai-uwe Lewandrowski, Md | Orthopaedic Surgery | 1702 W Anklam Rd, Suite 112, Tucson, AZ 85745-2606 | 2007-05-24 |
| 1467586552 | Rio Nuevo Family Practice, P.C. | Clinic/Center | 1702 W Anklam Rd, Suite 110, Tucson, AZ 85745-2606 | 2007-03-14 |
| 1548355894 | Amita D Trivedi Md | Internal Medicine | 1702 W Anklam Rd, 111, Tucson, AZ 85745-2606 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540679 | El Rio Santa Cruz Neighborhood Health Center Inc | Pharmacy | 839 W Congress, Tucson, AZ 85745 | 2018-12-31 |
| 1194230672 | Pascua Yaqui Tribe | Community/Behavioral Health | 1701 W. St. Mary's Road, Suite 120, Tucson, AZ 85745 | 2017-12-06 |
| 1891207106 | Intermountain Health Center, Inc. | Community/Behavioral Health | 1100 W. Fresno Street, Tucson, AZ 85745 | 2017-10-26 |
| 1497270664 | Skin Concierge, LLC. | Dermatology | 1310 W. St. Mary's Road, 2nd Floor, Suite A, Tucson, AZ 85745 | 2017-08-09 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1558717348 | Jeongfill Yun | Student in an Organized Health Care Education/Training Program | 8290 W Congress St., Tucson, AZ 85745 | 2016-05-11 |
| 1417317082 | Nebsource LLC | Durable Medical Equipment & Medical Supplies | 4890 W Camino De La Amapola, Tucson, AZ 85745 | 2016-02-25 |
| 1548661358 | Melinda Godoy | Pharmacist | 879 W Congress, Tucson, AZ 85745 | 2014-09-11 |
| 1811333925 | Asdb | Clinic/Center | 1200 West Speedway, Tucson, AZ 85745 | 2013-05-15 |
| 1669722385 | David L. Lewis | Counselor | 1779 W. St. Mary's Rd, Tucson, AZ 85745 | 2012-09-11 |
| Find all providers in zip 85745 | ||||
| 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 |
|---|---|---|---|---|
| 1992362370 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 6373 E Tanque Verde Rd Ste 140, Tucson, AZ 85715-3835 | 2019-05-21 |
| 1407047319 | Custom Ocular Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 9465 E Harrison Pl, Tucson, AZ 85710-6613 | 2007-08-06 |
| 1215127774 | Pedorthic Services Pllc | Prosthetic/Orthotic Supplier | 3264 E Speedway Blvd, Tucson, AZ 85716-3934 | 2007-07-30 |
| 1740480359 | Footomaki Tucson | Prosthetic/Orthotic Supplier | 4444 E Grant Rd, # 115, Tucson, AZ 85712 | 2007-07-21 |
| 1306068911 | Townson's Prosthetics | Prosthetic/Orthotic Supplier | 3855 N. Oracle Rd., Tucson, AZ 85705 | 2007-05-03 |
| 1114143567 | Arizona Prosthetic Orthotics Services | Prosthetic/Orthotic Supplier | 2933 N Campbell Ave, Tucson, AZ 85719-2801 | 2007-04-17 |
| 1144350513 | Thomas Raybern Townson | Prosthetic/Orthotic Supplier | 3855 N Oracle Rd, Tucson, AZ 85705-3253 | 2007-03-06 |
| 1417087651 | Danny Chan | Prosthetic/Orthotic Supplier | 2900 E Broadway Blvd, Suite #146, Tucson, AZ 85716-5343 | 2007-03-06 |
| 1174691810 | Jones Drug Company Inc | Prosthetic/Orthotic Supplier | 2729 E Speedway, Tucson, AZ 85716-3800 | 2006-12-01 |
| 1992754584 | Tony Martin Limb and Brace, LLC | Prosthetic/Orthotic Supplier | 5721 E 5th St, Suite 1, Tucson, AZ 85711-2401 | 2006-05-09 |
| Find all providers in TUCSON | ||||
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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.