Dravexium LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

DRAVEXIUM LLC

Practice address

3910 S Old Highway 94 Ste 102
Saint Charles, MO 63304-2834

Phone

(502) 907-8553

NPI assigned

May 7, 2025

Organization subpart

No

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

Authorized official

Name

Charan Munagala

Title

President

Phone

(502) 907-8553

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1144010794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 US HIGHWAY 60 W STE 217",
            "city": "REPUBLIC",
            "state": "MO",
            "postal_code": "657381432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S OLD HIGHWAY 94 STE 102",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042834",
            "telephone_number": "502-907-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAVEXIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "MUNAGALA",
        "authorized_official_first_name": "CHARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-907-8553"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Doran, RN
• Tyler James Dordan, DC
• Tamara J. Dorey, PH.D.
• Dorway Medical Supply, LLC
• Joel Ryan Dougherty, DPT
• DRB Medical LLC
• Jane Driskill, RN
• Daniella Duban, PHARMD
• Duck Falls Counseling and Wellness LLC
• McKinzie Danielle Duesenberg-Marshall, PHD

• Clinical Medical Laboratory in Saint Charles, MO
• Providers in Saint Charles, 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 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.