NPIMap

Organization Active NPI

Diagnostic Health Corporation

  • Physiological Laboratory
  • Kirkwood, MO
National Provider Identifier
1023066438
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
DIAGNOSTIC HEALTH CORPORATION
Practice address
1001 S Kirkwood Rd
Suite 110
Kirkwood, MO 63122-7254
Phone
(314) 821-9173
Fax
(314) 821-6157
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donna L Burch
Title
Credentialing Specialist
Phone
(205) 685-5075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1001 S Kirkwood Rd
Suite 110
Kirkwood, MO 63122-7254

Mailing address

1001 S Kirkwood Rd
Suite 110
Kirkwood, MO 63122-7254
Phone (314) 821-9173

Other names 1

  • Healthsouth Diagnostic Center of Kirkwood Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2235349Sound Health Services - Kirkwood1001 S Kirkwood Road, Suite 320, St. Louis, MO 63122Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Diagnostic Health Corporation10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 S Kirkwood Rd
Ste 110
Saint Louis, MO 63122
Phone (314) 821-9173

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023066438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S KIRKWOOD RD",
            "address_2": "SUITE 110",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227254",
            "telephone_number": "314-821-9173",
            "fax_number": "314-821-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S KIRKWOOD RD",
            "address_2": "SUITE 110",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631227254",
            "telephone_number": "314-821-9173",
            "fax_number": "314-821-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "205-685-5075"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsouth Diagnostic Center of Kirkwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.