Active NPI
Biological Technology Laboratory Inc
- Clinical Medical Laboratory
- Saint Louis, MO
National Provider Identifier
1437109725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0050000008 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 31254 | Other | MO | BLUE CROSS BLUE SHIELD MO |
Other names 1
- BIOTECH LAB
National Provider Directory
National Provider DirectoryLocations
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.