Bioderm Laboratories LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

26D0445040 Issued in MO

Legal business name

BIODERM LABORATORIES LLC

Practice address

1419 Village Dr
Saint Joseph, MO 64506-2459

Phone

(816) 364-1507

Fax

(816) 364-5711

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Melody Lynn Stone, M.D.

Title

Owner

Phone

(816) 364-1507

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290470400000",
    "number": "1134439920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062459",
            "telephone_number": "816-364-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 VILLAGE DR",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062459",
            "telephone_number": "816-364-1507",
            "fax_number": "816-364-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIODERM LABORATORIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-11-23",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-364-1507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": "26D0445040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhaskar Bhardwaj, M.D.
• Rayyan Bhuiyan, MD
• Jason R Bible, D.O.
• Li-Shann Yvonne Bigby, OTR/L
• Joedd Harrison Biggs, MD
• Bonnie Lee Birchansky, MD
• Alejandro Blachar, M.D
• Deborah Blachar, MD
• Michelle A Black
• Mark Allan Blackledge, O.D.

• Clinical Medical Laboratory in Saint Joseph, MO
• Providers in Saint Joseph, 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 Nov 23, 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.