GENETICARE LABORATORY INC. (NPI# 1649636275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649636275 |
Entity Type | Organization |
Organization Name | GENETICARE LABORATORY INC. |
Practice Address |
2901 Union Rd Suite 250 Saint Louis MO 63125-3972 |
Practice Telephone | 3142003109 |
Practice Fax Number | 3142003107 |
Mailing Telephone | 3142003109 |
Mailing Fax Number | 3142003107 |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |
Authorized Official Name | MRS. DEBBIE LYNN CAMILLO (OWNER) |
Authorized Official Telephone | 6183442920 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 26D2014386 | MO | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | CLIA | 26D2014386 | 01 |
Street Address |
2901 UNION RD SUITE 250 |
City | SAINT LOUIS |
State | MO |
Zip Code | 63125-3972 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750572699 | Family Medical Care Center, LLC | Family Medicine | 2901 Union Rd, Suite 100, Saint Louis, MO 63125-3972 | 2007-08-06 |
1245639673 | Missouri Healthcare LLC | Family Medicine | 2901 Union Rd, Unit 205b, Saint Louis, MO 63125-3972 | 2014-08-21 |
1932513587 | Missouri Healthcare | General Practice | 2901 Union Rd, Ste 250 B, Saint Louis, MO 63125-3972 | 2014-06-11 |
1376864983 | Catanzaro Medical Services, Inc. | Internal Medicine | 2901 Union Rd, Suite 250, Saint Louis, MO 63125-3972 | 2010-06-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
Find all providers in zip 63125 |
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. |
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1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
1942825633 | Midwest Innovation Laboratory LLC | Clinical Medical Laboratory | 763 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8704 | 2020-06-09 |
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 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63125 |
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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.