CAROLYN J ONEILL INC


Address: 1034 S Brentwood Blvd, Suite 1880, St Louis, MO 63117-1218
Phone: 3147261818

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory 07113 MO Laboratories

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
Mager and Gougelman of St Louis Doing Business As Name - Organization

Office Location

Street Address 1034 S BRENTWOOD BLVD
SUITE 1880
City ST LOUIS
State MO
Zip Code 63117-1218

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952453532 Sharon Kathleen Diekemper Counselor 1034 S Brentwood Blvd, Ste 1480, St Louis, MO 63117 2007-01-17
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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.

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City ST LOUIS
Zip Code 63117

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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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