Organization Active NPI

MJB Industries, LLC

  • Clinical Medical Laboratory
  • Saint Charles, MO
National Provider Identifier
1447933478
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MJB INDUSTRIES, LLC
Practice address
3769 New Town Blvd
Saint Charles, MO 63301-4358
Phone
(636) 544-3908
NPI assigned
Aug 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Authorized official

Name
Joshua Philip Becker, MHA
Title
Owner / President
Phone
(636) 544-3908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3769 New Town Blvd
Saint Charles, MO 63301-4358

Mailing address

113 Woodline CT
Saint Peters, MO 63376-2868
Phone (636) 544-3908

National Provider Directory

National Provider Directory

Locations

3769 New Town Blvd
Saint Charles, MO 63301
Phone (636) 544-3908

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1447933478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WOODLINE CT",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762868",
            "telephone_number": "636-544-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3769 NEW TOWN BLVD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633014358",
            "telephone_number": "636-544-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJB INDUSTRIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "636-544-3908",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.