Organization Active NPI

Neoxorus LLC

  • Clinical Medical Laboratory
  • Saint Charles, MO
National Provider Identifier
1467240309
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NEOXORUS LLC
Practice address
3910 S Old Highway 94 Ste 102
Saint Charles, MO 63304-2834
Phone
(502) 907-8553
NPI assigned
Apr 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Authorized official

Name
Charan Munagala
Title
President
Phone
(502) 907-8553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

3910 S Old Highway 94 Ste 102
Saint Charles, MO 63304-2834

Mailing address

3910 S Old Highway 94 Ste 102
Saint Charles, MO 63304-2834

National Provider Directory

National Provider Directory

Locations

201 US Highway 60 W
Ste 217
Republic, MO 65738

3910 S Old Highway 94
Ste 102
Saint Charles, MO 63304
Phone (502) 907-8553

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762128000000",
    "number": "1467240309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 S OLD HIGHWAY 94 STE 102",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 S OLD HIGHWAY 94 STE 102",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633042834",
            "telephone_number": "502-907-8553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOXORUS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A",
        "authorized_official_last_name": "MUNAGALA",
        "authorized_official_first_name": "CHARAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-907-8553"
    },
    "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 Nov 3, 2025; 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.