MIDWEST TOXICOLOGY GROUP, LLC (NPI# 1790179422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790179422 |
| Entity Type | Organization |
| Organization Name | MIDWEST TOXICOLOGY GROUP, LLC |
| Practice Address |
777 Craig Rd #230 Creve Coeur MO 63141-7138 |
| Practice Telephone | 2253031055 |
| Practice Fax Number | 3144424045 |
| Mailing Telephone | 2253031055 |
| Mailing Fax Number | 3144424045 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | CARLOS E HIMPLER (CONSULTANT) |
| Authorized Official Telephone | 2253031055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | INDEPENDENT CLINICAL LABORATORY | 0000 | 01 |
| Street Address |
777 CRAIG RD #230 |
| City | CREVE COEUR |
| State | MO |
| Zip Code | 63141-7138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518217603 | Sleep Studio of St. Louis | Clinic/Center | 777 Craig Rd, Suite 135, Creve Coeur, MO 63141-7133 | 2012-09-15 |
| 1265725808 | Care Pharmaccyllc | Pharmacy | 777 Craig Rd, Suite 135a, Creve Coeur, MO 63141-7138 | 2011-05-16 |
| 1144512187 | Care Pharmacy LLC | Pharmacy | 777 Craig Rd, 135a, Creve Coeur, MO 63141-7138 | 2011-05-10 |
| 1679808794 | Jon Connorran Williams | Psychologist | 777 Craig Rd, Suite 200, Creve Coeur, MO 63141-7138 | 2009-10-07 |
| 1346480597 | Kevin Scott Mayse | Counselor | 777 Craig Rd, Suite 230, Creve Coeur, MO 63141-7138 | 2009-03-01 |
| 1679659643 | Ernest L Brawner | Social Worker | 777 Craig Rd, Ste 130, Creve Coeur, MO 63141 | 2006-10-31 |
| 1508951534 | Theresa R Bajt | Psychologist | 777 Craig Rd, Suite 130, Creve Coeur, MO 63141-7138 | 2006-10-04 |
| 1841301652 | Nancy Carol Higgins | Psychologist | 777 Craig Rd, Suite 120, Creve Coeur, MO 63141-7138 | 2006-08-31 |
| 1235143942 | Laishang Peter Zhang | Psychiatry & Neurology | 777 Craig Rd, Suite 200, Creve Coeur, MO 63141-7138 | 2006-07-28 |
| 1487670626 | Pamela J Sleeper | Social Worker | 777 Craig Rd, Suite 120, Creve Coeur, MO 63141-7138 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959498 | Barnes Jewish West County Hospital | Clinical Medical Laboratory | 12634 Olive Blvd, Creve Coeur, MO 63141-6337 | 2020-07-15 |
| 1427416593 | Core Dx LLC | Clinical Medical Laboratory | 11477 Olde Cabin Rd Ste 210, Creve Coeur, MO 63141-7129 | 2016-02-04 |
| 1538527601 | Core Toxicology LLC | Clinical Medical Laboratory | 11477 Olde Cabin Rd Ste 210, Creve Coeur, MO 63141-7129 | 2016-02-04 |
| 1407927585 | Wcp Laboratories, Inc | Clinical Medical Laboratory | 450 N New Ballas Rd, Creve Coeur, MO 63141-6835 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009498 | Polk Medical Testing Solutions LLC | Clinical Medical Laboratory | 3430 Mckelvey Rd Ste L, Bridgeton, MO 63044-2556 | 2020-10-07 |
| 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 |
| 1588288815 | Mobile Response Diagnostics LLC | Clinical Medical Laboratory | 7739 Folk Ave, Maplewood, MO 63143-1116 | 2020-06-02 |
| 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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| City | CREVE COEUR |
| Zip Code | 63141 |
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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.