Mogene Clinical Diagnostics LC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MOGENE CLINICAL DIAGNOSTICS LC

Practice address

1005 N Warson Rd Ste 403a
Saint Louis, MO 63132-2900

Phone

(314) 261-9999

NPI assigned

Mar 18, 2015

Organization subpart

Yes

Parent organization

MOGENE LCAs reported in NPPES

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

Authorized official

Name

Dr. Dun Liang, PHDNPI 1528451341

Title

Clinical Laboratory Director

Phone

(314) 261-9999

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dun Liang, PHD

  • Clinical Laboratory Director (Non-physician)
  • Saint Louis, MO
  • NPI 1528451341
  NPD (past) Authorized official

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1124411947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 N WARSON RD STE 403A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322900",
            "telephone_number": "314-261-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 N WARSON RD STE 403A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322900",
            "telephone_number": "314-261-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOGENE CLINICAL DIAGNOSTICS LC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOGENE LC",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "LIANG",
        "authorized_official_first_name": "DUN",
        "authorized_official_title_or_position": "CLINICAL LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "314-261-9999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Lynn Moeslein, DPT
• Kelly Moffatt
• Stephanie Mofield, FNP-C
• Ricky Stuart Mofsen, D.O.
• Nikhil Mogalapalli, MD
• Jill Mogil, O.D.
• Lisa Beth Mogil, MD
• Taha Mohamed Djirdeh, MD
• Mohamed Elsafi, DDS LLC
• Fatima Ibrahim Mohamed, DENTAL HYGIENIST

• Clinical Medical Laboratory in Saint Louis, MO
• Providers in Saint Louis, 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 Mar 18, 2015; 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.