NPIMap

Organization Active NPI

Missouri Diagnostic Services, LLC

  • Physiological Laboratory
  • Holts Summit, MO
National Provider Identifier
1215397153
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
MISSOURI DIAGNOSTIC SERVICES, LLC
Practice address
1517 Copper Rd
Holts Summit, MO 65043-2033
Phone
(660) 207-0031
Fax
(877) 673-5233
NPI assigned
Mar 4, 2016
Last updated
Mar 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Aleem Abbasi
Title
Secretary/ Member
Phone
(660) 207-0031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

1517 Copper Rd
Holts Summit, MO 65043-2033

Mailing address

1517 Copper Rd
Holts Summit, MO 65043-2033
Phone (660) 207-0031

National Provider Directory

National Provider Directory
Tax ID family
Missouri Diagnostic Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1215397153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 COPPER RD",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "650432033",
            "telephone_number": "660-207-0031",
            "fax_number": "877-673-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 COPPER RD",
            "city": "HOLTS SUMMIT",
            "state": "MO",
            "postal_code": "650432033",
            "telephone_number": "660-207-0031",
            "fax_number": "877-673-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI DIAGNOSTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "ALEEM",
        "authorized_official_title_or_position": "SECRETARY/ MEMBER",
        "authorized_official_telephone_number": "660-207-0031"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holts Summit, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.