Active NPI
Spinnakers LLC
- Clinical Medical Laboratory
- Chesterfield, MO
National Provider Identifier
1013282193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- SPINNAKERS LLC
- Practice address
- 18118 Chesterfield Airport Rd
Suite#N
Chesterfield, MO 63005-1124 - Phone
- (314) 757-7244
- Fax
- (757) 215-0779
- NPI assigned
- Mar 21, 2012
- Organization subpart
- Yes
- Parent organization
- SPINNAKERS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Zia Iqbal
- Title
- Ceo
- Phone
- (314) 757-7244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
18118 Chesterfield Airport Rd
Suite#N
Chesterfield, MO 63005-1124
Mailing address
18118 Chesterfield Airport Road,
Suite#N
Chesterfield, MO 63005-1124
Phone (314) 757-7244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70663290 | Medicaid | MO |
Other names 1
- North County Diagnostic Labs
National Provider Directory
National Provider Directory- Part of
- Spinnakers LLC
Locations
18118 Chesterfield Airport Rd
Chesterfield, MO 63005
Phone (314) 757-7244
18118 Chesterfield Airport Rd
#Nn
Chesterfield, MO 63005
Phone (636) 778-0757
11115 New Halls Ferry Rd
Ste 103B
Florissant, MO 63033
Phone (314) 720-2118
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Ellisville, MO
- NPI 1962785295
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351123200000",
"number": "1013282193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18118 CHESTERFIELD AIRPORT ROAD,",
"address_2": "SUITE#N",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051124",
"telephone_number": "314-757-7244",
"fax_number": "757-215-0779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18118 CHESTERFIELD AIRPORT RD",
"address_2": "SUITE#N",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051124",
"telephone_number": "314-757-7244",
"fax_number": "757-215-0779"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPINNAKERS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPINNAKERS LLC",
"enumeration_date": "2012-03-21",
"last_updated": "2012-10-25",
"status": "A",
"authorized_official_last_name": "IQBAL",
"authorized_official_first_name": "ZIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "314-757-7244",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "70663290",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "North County Diagnostic Labs",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.