Organization Active NPI

Sharad P. Parikh M.D.

  • Clinical Medical Laboratory
  • Florissant, MO
National Provider Identifier
1063597664
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33867 Issued in MO
Legal business name
SHARAD P. PARIKH M.D.
Practice address
11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778
Phone
(314) 972-0100
Fax
(314) 831-7632
NPI assigned
Oct 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Dr. Sharad P Parikh, M.D.
Title
Owner
Phone
(314) 972-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33867 MO Primary

Addresses

Primary practice location

11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778

Mailing address

11905 W Florissant Ave
Suite 100
Florissant, MO 63033-6778
Phone (314) 972-0100

Other identifiers 4

IdentifierTypeStateIssuer
710886508MedicaidMO
P00653140OtherMORAILROAD MEDICARE
P00657419OtherILRAILROAD MEDICARE
330001780OtherMORAILROAD MEDICARE

Other names 1

  • Biomedical Imaging Doing business as

National Provider Directory

National Provider Directory

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": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1063597664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 W FLORISSANT AVE",
            "address_2": "SUITE 100",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336778",
            "telephone_number": "314-972-0100",
            "fax_number": "314-831-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 W FLORISSANT AVE",
            "address_2": "SUITE 100",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336778",
            "telephone_number": "314-972-0100",
            "fax_number": "314-831-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARAD P. PARIKH M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-972-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "33867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710886508",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00653140",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00657419",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "330001780",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Biomedical Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.