Organization Active NPI

Mmi Laboratory Services, LLC

  • Clinical Medical Laboratory
  • Springfield, MO
National Provider Identifier
1104474360
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MMI LABORATORY SERVICES, LLC
Practice address
2833 E Battlefield St Ste A100
Springfield, MO 65804-4084
Phone
(888) 426-9210
Fax
(888) 426-9214
NPI assigned
Aug 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mr. Daniel Taylor
Title
Ceo
Phone
(888) 426-9210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2833 E Battlefield St Ste A100
Springfield, MO 65804-4084

Mailing address

PO Box 4241
Springfield, MO 65808-4241
Phone (888) 426-9210

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dan@midwestmobileimaging.com Direct

National Provider Directory

National Provider Directory

Locations

3171 E Sunshine St
#E121
Springfield, MO 65804
Phone (888) 426-9210

1927 S National Ave
Ste A
Springfield, MO 65804
Phone (417) 889-5353

1422 8th St
West Plains, MO 65775
Phone 88842692103

408 Washington Ave
Ste 130
West Plains, MO 65775
Phone 88842692103

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": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1104474360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4241",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658084241",
            "telephone_number": "888-426-9210",
            "fax_number": "888-426-9214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 E BATTLEFIELD ST STE A100",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044084",
            "telephone_number": "888-426-9210",
            "fax_number": "888-426-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMI LABORATORY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-426-9210",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dan@midwestmobileimaging.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1927 S National Ave Ste A",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658042279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.