L.a. Medical LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

L.A. MEDICAL LLC

Practice address

107 S 16TH St
Unionville, MO 63565-1624

Phone

(660) 947-4191

Fax

(660) 947-4091

NPI assigned

Nov 13, 2020

Last updated

Jan 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lawrence Allen

Title

Office Manager

Phone

(660) 947-4191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1235731233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 S 16TH ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651624",
            "telephone_number": "660-947-4191",
            "fax_number": "660-947-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S 16TH ST",
            "city": "UNIONVILLE",
            "state": "MO",
            "postal_code": "635651624",
            "telephone_number": "660-947-4191",
            "fax_number": "660-947-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L.A. MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2021-01-28",
        "certification_date": "2020-12-28",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "660-947-4191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Unionville, MO
• Providers in Unionville, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.