Active NPI
Washington University
- Clinical Medical Laboratory
- Saint Louis, MO
National Provider Identifier
1316269293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 26D1095501
- Legal business name
- WASHINGTON UNIVERSITY
- Practice address
- 1 Barnes Jewish Hospital PLZ
Service BLDG Ste 262
Saint Louis, MO 63110-1003 - Phone
- (314) 362-5641
- Fax
- (314) 362-0369
- NPI assigned
- Feb 19, 2010
- 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
- Dr. Charles S Eby, MD
- Title
- Laboratory Director
- Phone
- (314) 362-5641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 26D1095501 | MO | Primary |
Addresses
Primary practice location
1 Barnes Jewish Hospital PLZ
Service BLDG Ste 262
Saint Louis, MO 63110-1003
Mailing address
660 S Euclid Ave
CB 8118
Saint Louis, MO 63110-1010
Phone (314) 362-5641
Other names 1
- Immunology Hemastasis Research Lab
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070907000440 | MO | Part B Supplier - Independent Clinical Laboratory | 9830008770 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saint Louis, MO |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
660 S Euclid Ave
#8118
Saint Louis, MO 63110
Phone (314) 362-0101
1 Barnes Jewish Hospital Plz
Ste 262
Saint Louis, MO 63110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1316269293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8118",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-362-5641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BARNES JEWISH HOSPITAL PLZ",
"address_2": "SERVICE BLDG STE 262",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101003",
"telephone_number": "314-362-5641",
"fax_number": "314-362-0369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "EBY",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "LABORATORY DIRECTOR",
"authorized_official_telephone_number": "314-362-5641",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "MO",
"license": "26D1095501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Immunology Hemastasis Research Lab",
"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 Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.