Organization Active NPI

Spinnakers LLC

  • Clinical Medical Laboratory
  • Chesterfield, MO
National Provider Identifier
1013282193
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
70663290MedicaidMO

Other names 1

  • North County Diagnostic Labs Doing business as

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.

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.

Verify at the official NPI Registry.