MIDWEST INNOVATION LABORATORY LLC (NPI# 1942825633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942825633 |
| Entity Type | Organization |
| Organization Name | MIDWEST INNOVATION LABORATORY LLC |
| Other Organization Name | HDL LABS |
| Practice Address |
763 S New Ballas Rd Ste 140 Saint Louis MO 63141-8704 |
| Mailing Address |
1027 Dutch Mill Dr Ballwin MO 63011-3678 |
| Practice Telephone | 3144083394 |
| Practice Fax Number | 3147789700 |
| Mailing Telephone | 3144083394 |
| Mailing Fax Number | 3147789700 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-07-27 |
| Authorized Official Name | FATREED A KATARIWALA (CEO) |
| Authorized Official Telephone | 3149734230 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| HDL LABS | Doing Business As Name - Organization |
| Street Address |
763 S NEW BALLAS RD STE 140 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-8704 |
| 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 |
|---|---|---|---|---|
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 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 |
| 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 |
| 1962791970 | Phlebotomy Services Plus LLC | Clinical Medical Laboratory | 1160 Riverview Blvd, Saint Louis, MO 63147-1707 | 2011-03-30 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| 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.