Organization Active NPI

Med Quik Labs LLC

  • Clinical Medical Laboratory
  • Joplin, MO
National Provider Identifier
1306170329
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MED QUIK LABS LLC
Practice address
101 N Range Line Rd Ste 322
Joplin, MO 64801-4118
Phone
(417) 206-7845
Fax
(417) 782-6331
NPI assigned
Sep 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Mr. Michael Glenn PittmanNPI 1871952853
Title
Owner
Phone
(417) 850-1348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

101 N Range Line Rd Ste 322
Joplin, MO 64801-4118

Mailing address

PO Box 3703
Joplin, MO 64803-3703
Phone (417) 206-7845

National Provider Directory

National Provider Directory
Tax ID family
Healthone Labs LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 N Range Line Rd
Ste 322
Joplin, MO 64801
Phone (417) 206-7845

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1306170329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3703",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033703",
            "telephone_number": "417-206-7845",
            "fax_number": "417-782-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N RANGE LINE RD STE 322",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648014118",
            "telephone_number": "417-206-7845",
            "fax_number": "417-782-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED QUIK LABS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GLENN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-850-1348",
        "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 Joplin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.