Interlab LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

INTERLAB LLC

Practice address

2730 S Saint Peters Pkwy
Suite 200
Saint Peters, MO 63303-5677

Phone

(636) 486-0436

Fax

(636) 486-1894

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Malik Karim

Title

Owner

Phone

(314) 960-1052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1285037945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 958514",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631958514",
            "telephone_number": "636-486-0436",
            "fax_number": "636-486-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S SAINT PETERS PKWY",
            "address_2": "SUITE 200",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633035677",
            "telephone_number": "636-486-0436",
            "fax_number": "636-486-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERLAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "KARIM",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-960-1052"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Medical Laboratory in Saint Peters, MO
• Providers in Saint Peters, 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 Oct 8, 2014; 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.