Organization Active NPI

MD Diagnostics LLC

  • Clinical Medical Laboratory
  • Saint Louis, MO
National Provider Identifier
1285201343
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MD DIAGNOSTICS LLC
Practice address
9985 Lin Ferry Dr
Saint Louis, MO 63123-6913
Phone
(314) 764-0154
NPI assigned
Jun 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Syed M Hayat
Title
Owner
Phone
(314) 764-0154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

9985 Lin Ferry Dr
Saint Louis, MO 63123-6913

Mailing address

2751 Blackforest Dr
Saint Louis, MO 63129-4023

Other names 1

  • LABTEST EZ PAY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230816002972 MO Part B Supplier - Independent Clinical Laboratory 5395107742 Practice locations: Saint Louis, MO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D2228716MD Diagnostics LLC9985 Lin Ferry Dr, Saint Louis, MO 63123ComplianceMar 7, 2027

National Provider Directory

National Provider Directory

Locations

9985 Lin Ferry Dr
Saint Louis, MO 63123
Phone (314) 764-0154

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1285201343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 BLACKFOREST DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631294023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9985 LIN FERRY DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236913",
            "telephone_number": "314-764-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-08",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "HAYAT",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-764-0154"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LABTEST EZ PAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.