Organization Active NPI

Benemed Diagnostics LLC

  • Clinical Medical Laboratory
  • Saint Louis, MO
National Provider Identifier
1336508597
Registry record updated Feb 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BENEMED DIAGNOSTICS LLC
Practice address
10199 Woodfield LN
Saint Louis, MO 63132-2922
Phone
(314) 222-0602
NPI assigned
Feb 16, 2016
Last updated
Feb 16, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2016

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

Authorized official

Name
Franco Sicuro, MD
Title
Owner
Phone
(314) 222-0602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

10199 Woodfield LN
Saint Louis, MO 63132-2922

Mailing address

10199 Woodfield LN
Saint Louis, MO 63132-2922
Phone (314) 222-0602

National Provider Directory

National Provider Directory

Locations

10199 Woodfield Ln
Ste 70
Saint Louis, MO 63132
Phone (314) 222-0602

NPI Registry JSON

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

{
    "created_epoch": "1455580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455580800000",
    "number": "1336508597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10199 WOODFIELD LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322922",
            "telephone_number": "314-222-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10199 WOODFIELD LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322922",
            "telephone_number": "314-222-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEMED DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-16",
        "last_updated": "2016-02-16",
        "status": "A",
        "authorized_official_last_name": "SICURO",
        "authorized_official_first_name": "FRANCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-222-0602",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 16, 2016; 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.