Organization Active NPI

Helix Specialty Diagnostics

  • Clinical Medical Laboratory
  • Maryland Heights, MO
National Provider Identifier
1265084206
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HELIX SPECIALTY DIAGNOSTICS
Practice address
11829 Dorsett Rd
Maryland Heights, MO 63043-2503
Phone
(618) 447-0007
Fax
(800) 701-6615
NPI assigned
Jul 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Mr. Travis Revelle
Title
Compliance
Phone
(618) 447-0007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11829 Dorsett Rd
Maryland Heights, MO 63043-2503

Mailing address

11829 Dorsett Rd
Maryland Heights, MO 63043-2503
Phone (618) 447-0007

National Provider Directory

National Provider Directory

Locations

2515 Bernadette Dr
Columbia, MO 65203
Phone (573) 356-3267

2513 Bernadette Dr
Columbia, MO 65203

11829 Dorsett Rd
Maryland Hts, MO 63043
Phone (573) 777-8600

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1265084206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11829 DORSETT RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432503",
            "telephone_number": "618-447-0007",
            "fax_number": "800-701-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11829 DORSETT RD",
            "city": "MARYLAND HEIGHTS",
            "state": "MO",
            "postal_code": "630432503",
            "telephone_number": "618-447-0007",
            "fax_number": "800-701-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELIX SPECIALTY DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "REVELLE",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "618-447-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryland Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.