MHG Outpatient Lab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

MHG OUTPATIENT LAB LLC

Practice address

560 W Pine St
Farmington, MO 63640-1426

Phone

(573) 747-0544

Fax

(573) 747-1962

NPI assigned

Aug 9, 2012

Last updated

Aug 9, 2012By 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

Guy Darron Roberts, D.O.NPI 1528085156

Title

Owner/Physician

Phone

(573) 747-1510

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Guy D Roberts, D.O.

  • Family Medicine Physician
  • Farmington, MO
  • NPI 1528085156
  Authorized official Same address or phone

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

{
    "created_epoch": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1265789200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-747-0544",
            "fax_number": "573-747-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W PINE ST",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401426",
            "telephone_number": "573-747-0544",
            "fax_number": "573-747-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHG OUTPATIENT LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "DARRON",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "573-747-1510",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lynn Metcalf
• Tierra Alise Metcalfe
• Susan M Metzger, M.ED., LPC
• Breslin Elizabeth Meyer, DNP-FNP-BC
• Eric Meyer, DPT
• Lawrence Albert Michael, LPC
• Wenona H Mickan, MSW
• Mid-America Clinical Pathology, LLC
• Mid-West Podiatry & Associates, L L C
• Midwest Health Group Convenient Care

• Clinical Medical Laboratory in Farmington, MO
• Providers in Farmington, 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 Aug 9, 2012; 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.