CAROLYN J ONEILL INC (NPI# 1700927993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700927993 |
Entity Type | Organization |
Organization Name | CAROLYN J ONEILL INC |
Other Organization Name | MAGER AND GOUGELMAN OF ST LOUIS |
Practice Address |
1034 S Brentwood Blvd Suite 1880 St Louis MO 63117-1218 |
Practice Telephone | 3147261818 |
Practice Fax Number | 3147260295 |
Mailing Telephone | 3147261818 |
Mailing Fax Number | 3147260295 |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. CAROLYN JEAN ONEILL (PRESIDENT OWNER) |
Authorized Official Telephone | 3147261818 |
Authorized Official Credential | BCO BADO |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | 07113 | MO | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BLUE CROSS BLUE SHIELD | 31412 | 01 | |
BLUE CHOICE | BLC24049 | 01 | |
GHP ADVENTRA | 4649 | 01 | |
HEALTHCARE USA | 8364 | 01 | |
COMMUNITY CARE PLUS | 889058 | 01 |
Other Name | Type Code |
---|---|
Mager and Gougelman of St Louis | Doing Business As Name - Organization |
Street Address |
1034 S BRENTWOOD BLVD SUITE 1880 |
City | ST LOUIS |
State | MO |
Zip Code | 63117-1218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952453532 | Sharon Kathleen Diekemper | Counselor | 1034 S Brentwood Blvd, Ste 1480, St Louis, MO 63117 | 2007-01-17 |
1366543746 | Andrew T Pickens IIi | Psychiatry & Neurology | 1034 S Brentwood Blvd, Suite 500, St Louis, MO 63117 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
Find all providers in zip 63117 |
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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1043575111 | Labone LLC | Clinical Medical Laboratory | 4625 Lindell Boulevard, Suite 507, St Louis, MO 63108-3725 | 2012-07-05 |
1477880862 | Labone LLC | Clinical Medical Laboratory | 6645 Shelpley Drive, St Louis, MO 63105-0000 | 2009-11-06 |
1730221664 | Carestl Health | Clinical Medical Laboratory | 2425 Whittier, St Louis, MO 63113 | 2007-02-14 |
1568504488 | Carestl Health | Clinical Medical Laboratory | 5541 Riverview Bld, St Louis, MO 63120 | 2007-02-14 |
1245372499 | Carestl Health | Clinical Medical Laboratory | 5471 Dr Martin Luther King Drive, St Louis, MO 63112 | 2007-02-13 |
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1740801893 | Kbn Diagnostics, LLC | Clinical Medical Laboratory | 11612 Oak St, Kansas City, MO 64114-5623 | 2020-04-29 |
1477172062 | David Eric Arnold | Clinical Medical Laboratory | 2309 Time Centre Dr, Saint Charles, MO 63303-2104 | 2020-04-13 |
1104474360 | Mmi Laboratory Services, LLC | Clinical Medical Laboratory | 1927 S National Ave Ste A, Springfield, MO 65804-2279 | 2019-08-30 |
1265084206 | Helix Specialty Diagnostics | Clinical Medical Laboratory | 2515 Bernadette Dr, Columbia, MO 65203-4674 | 2019-07-10 |
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 |
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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.