Active NPI
Helix Specialty Diagnostics
- Clinical Medical Laboratory
- Maryland Heights, MO
National Provider Identifier
1265084206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.