MIDWEST EQUIPMENT SRV SYSTEMS LLC (NPI# 1780195966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780195966 |
| Entity Type | Organization |
| Organization Name | MIDWEST EQUIPMENT SRV SYSTEMS LLC |
| Other Organization Name | DEFINITIVE LABORATORY SERVICES, LLC |
| Practice Address |
2400 Lucy Lee Parkway Suite C Poplar Bluff MO 63901 |
| Mailing Address |
11145 Will Rogers St. Louis MO 63146 |
| Practice Telephone | 5736092929 |
| Practice Fax Number | 3145527511 |
| Mailing Telephone | 3143087527 |
| Mailing Fax Number | 3145527511 |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |
| Authorized Official Name | MR. JOE A BRUMLEY JR. (LLC MEMBER) |
| Authorized Official Telephone | 3143087527 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Definitive Laboratory Services, LLC | Doing Business As Name - Organization |
| Street Address |
2400 LUCY LEE PARKWAY SUITE C |
| City | POPLAR BLUFF |
| State | MO |
| Zip Code | 63901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076701 | Alternative Sleep Solution | Dentist | 2700 Kanell Blvd., Poplar Bluff, MO 63901 | 2020-09-04 |
| 1285271239 | Front Door Wellness LLC | Physical Therapist | Front Door Wellness LLC, 5835 Quail Meadows Drive, Poplar Bluff, MO 63901 | 2019-12-09 |
| 1104470368 | Andrew Akindutire | Dentist | 3101 Oak Groove Rd., Suite 6, Poplar Bluff, MO 63901 | 2019-07-26 |
| 1801259387 | Richard Justin Huber | Technician, Other | 3005 Warrior Ln, Poplar Bluff, MO 63901 | 2016-04-01 |
| 1699136275 | Donja Kirkland | Recreation Therapist | 1910a Greenwood Dr., Suite D, Poplar Bluff, MO 63901 | 2016-03-10 |
| 1760866867 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 3050 Tucker Road, Poplar Bluff, MO 63901 | 2015-07-17 |
| 1407246390 | Lisa Marie Payne | Physical Therapist | 4358c Highway Pp, Poplar Bluff, MO 63901 | 2015-01-29 |
| 1700202488 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 1602 W. Harper Street, Poplar Bluff, MO 63901 | 2014-03-05 |
| 1932521648 | Essential Family Healthcare, LLC | Clinic/Center | 1369 North Westwood Blvd., Poplar Bluff, MO 63901 | 2014-01-15 |
| 1083050868 | Sylvan Harold Cohen | Pharmacist | 449 Hwy 53 South, Poplar Bluff, MO 63901 | 2013-05-20 |
| Find all providers in zip 63901 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558980698 | Abbigayle Kathryn Mcdougal-benjamin | Technician, Pathology | 670 Katy Dr, Boonville, MO 65233-2886 | 2020-04-09 |
| 1821620782 | Lavita Green | Technician, Pathology | 547 Grand Blvd, Kansas City, MO 64106-1202 | 2020-02-09 |
| 1396375689 | Jamilya Crittenden | Technician, Pathology | 2252 Ne Town Centre Blvd Apt 1701, Lees Summit, MO 64064-2531 | 2020-01-25 |
| 1508374422 | Jeff Hahnen | Technician, Pathology | 11915 Dogwood Rd, Carthage, MO 64836-3284 | 2018-01-12 |
| 1457888133 | Florence Allen | Technician, Pathology | 2305 N Waterford Dr, Florissant, MO 63033-2345 | 2017-05-12 |
| 1063956084 | Shonta Brenson | Technician, Pathology | 1323 Nw Hidden Ridge Cir, Blue Springs, MO 64015-2719 | 2016-12-09 |
| 1871952853 | Michael Pittman | Technician, Pathology | 101 N Range Line Rd # 304, Joplin, MO 64801-4118 | 2016-02-18 |
| 1023499795 | Marcia Lynette James | Technician, Pathology | 4911 Michigan Ave, Saint Louis, MO 63111-1719 | 2015-06-17 |
| 1205074614 | Amber Jones | Technician, Pathology | 1403 Court St Apt A, Columbia, MO 65201-6499 | 2009-01-23 |
| 1093909087 | Beth Ann Dalto | Technician, Pathology | 11906 Manchester Rd, Saint Louis, MO 63131-4503 | 2007-09-01 |
| Find all providers with the same taxonomy | ||||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
Please comment or provide details below to improve the information on MIDWEST EQUIPMENT SRV SYSTEMS LLC.
| 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.