Organization Active NPI

Coastal Laboratories, Mo

  • Clinical Medical Laboratory
  • Saint Peters, MO
National Provider Identifier
1053879189
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Mar 18, 2019

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.