Organization Active NPI

Waynemedical Center LLC Lab

  • Clinical Medical Laboratory
  • Piedmont, MO
National Provider Identifier
1134104789
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
WAYNEMEDICAL CENTER LLC LAB
Practice address
RR 4 Box 4515
Piedmont, MO 63957-9417
Phone
(573) 223-4233
Fax
(573) 223-2136
NPI assigned
Dec 7, 2005
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. David A Gayle, M.D.NPI 1992792329
Title
Director
Phone
(573) 223-4233

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

RR 4 Box 4515
Piedmont, MO 63957-9417

Mailing address

RR 4 Box 4515
Piedmont, MO 63957-9417
Phone (573) 223-4233

Other identifiers 1

IdentifierTypeStateIssuer
701080608MedicaidMO

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1134104789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 4515",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639579417",
            "telephone_number": "573-223-4233",
            "fax_number": "573-223-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 4 BOX 4515",
            "city": "PIEDMONT",
            "state": "MO",
            "postal_code": "639579417",
            "telephone_number": "573-223-4233",
            "fax_number": "573-223-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNEMEDICAL CENTER LLC LAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-07",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "GAYLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "573-223-4233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "701080608",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.