Organization Active NPI

Biological Technology Laboratory Inc

  • Clinical Medical Laboratory
  • Saint Louis, MO
National Provider Identifier
1437109725
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
BIOLOGICAL TECHNOLOGY LABORATORY INC
Doing business as
BIOTECH LAB
Practice address
10114 Woodfield LN
Saint Louis, MO 63132-2923
Phone
(314) 432-5030
Fax
(314) 373-8060
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
William Joseph Hunt
Title
Treasurer
Phone
(314) 432-5030

Specialties & licenses 1

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

Addresses

Primary practice location

10114 Woodfield LN
Saint Louis, MO 63132-2923

Mailing address

10114 Woodfield LN
Saint Louis, MO 63132-2923
Phone (314) 432-5030

Other identifiers 2

IdentifierTypeStateIssuer
0050000008OtherILBLUE CROSS BLUE SHIELD IL
31254OtherMOBLUE CROSS BLUE SHIELD MO

Other names 1

  • BIOTECH LAB Doing business as

National Provider Directory

National Provider Directory

Locations

54 W Crownview
Bldg A
Mount Vernon, IL 62864
Phone (314) 432-5030

665 Ohio Pike
Cincinnati, OH 45245
Phone (513) 201-1128

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1437109725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10114 WOODFIELD LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322923",
            "telephone_number": "314-432-5030",
            "fax_number": "314-373-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10114 WOODFIELD LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322923",
            "telephone_number": "314-432-5030",
            "fax_number": "314-373-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOLOGICAL TECHNOLOGY LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "314-432-5030"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "0050000008",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MO",
            "identifier": "31254",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIOTECH 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 Apr 20, 2008; 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.