Active NPI
Coastal Laboratories, Mo
- Clinical Medical Laboratory
- Saint Peters, MO
National Provider Identifier
1053879189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COASTAL LABORATORIES, MO
- Practice address
- 2730 S Saint Peters Pkwy Ste 106
Saint Peters, MO 63303-5677 - Phone
- (636) 734-4636
- NPI assigned
- Mar 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Schindehette
- Title
- Director
- Phone
- (636) 734-4636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2730 S Saint Peters Pkwy Ste 106
Saint Peters, MO 63303-5677
Mailing address
2730 S Saint Peters Pkwy Ste 106
Saint Peters, MO 63303-5677
Phone (636) 734-4636
National Provider Directory
National Provider DirectoryLocations
2730 S Saint Peters Pkwy
Ste 106
Saint Peters, MO 63303
Phone (636) 248-6294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Saint Peters, MO
- NPI 1285689471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552867200000",
"number": "1053879189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 S SAINT PETERS PKWY STE 106",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633035677",
"telephone_number": "636-734-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2730 S SAINT PETERS PKWY STE 106",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633035677",
"telephone_number": "636-734-4636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL LABORATORIES, MO",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-07",
"last_updated": "2019-03-18",
"status": "A",
"authorized_official_last_name": "SCHINDEHETTE",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "636-734-4636"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.