Thyroid Specialty Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

26D0953866 Issued in MO

Legal business name

THYROID SPECIALTY LABORATORY INC

Practice address

1636 Headland Dr
Fenton, MO 63026-2837

Phone

(314) 200-3040

Fax

(314) 200-3042

NPI assigned

Mar 30, 2007

Last updated

Nov 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Janson

Title

Finance Manager

Phone

(314) 200-3040

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Thyroid Specialty Lab Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Thyroid Specialty Laboratory Inc

  • Clinical Medical Laboratory
  • Saint Louis, MO
  • NPI 1184055386
  NPD tax ID
• Thyroid Specialty Laboratory Inc

  dba TEN Healthcare, LLC

  • Clinical Medical Laboratory
  • Fenton, MO
  • NPI 1396175196
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Thyroid Specialty Laboratory Inc

  • Clinical Medical Laboratory
  • Saint Louis, MO
  • NPI 1184055386
  NPPES parent name
• Thyroid Specialty Laboratory Inc

  dba TEN Healthcare, LLC

  • Clinical Medical Laboratory
  • Fenton, MO
  • NPI 1396175196
  NPPES parent name

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1033239413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 HEADLAND DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262837",
            "telephone_number": "314-200-3040",
            "fax_number": "314-200-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 HEADLAND DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262837",
            "telephone_number": "314-200-3040",
            "fax_number": "314-200-3042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THYROID SPECIALTY LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "JANSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "314-200-3040"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D0953866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "703274407",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0953866",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1989",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor Thier, DPT
• Stephen E. Thierauf, MD
• Angela Thomas
• Stephanie Thomas, COTA/L
• Thomson Chiropactic, LLC
• Thyroid Specialty Laboratory Inc (TEN Healthcare, LLC)
• Emily Tiedemann, DPT
• Kyle Matthew Tiefel, D.C.
• Julia Titter, ATC
• Julie Toliusis, PHARMD

• Clinical Medical Laboratory in Fenton, MO
• Providers in Fenton, MO by specialty
• Clinical Medical Laboratory in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.