Active NPI
MD Diagnostics LLC
- Clinical Medical Laboratory
- Saint Louis, MO
National Provider Identifier
1285201343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230816002972 | MO | Part B Supplier - Independent Clinical Laboratory | 5395107742 | Practice locations: Saint Louis, MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2228716 | MD Diagnostics LLC | Compliance | Mar 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.