Show-Me Diagnostic Lab, LLC

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

Legal business name

SHOW-ME DIAGNOSTIC LAB, LLC

Practice address

104 E Park Ave Ste 128
Savannah, MO 64485-1956

Phone

(816) 261-4911

NPI assigned

Aug 30, 2023

Last updated

Oct 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Georganne Luman, CPT,CPC

Title

Lab Director/Owner

Phone

(417) 440-1471

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1487439022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E PARK AVE STE 128",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644851956",
            "telephone_number": "816-261-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E PARK AVE STE 128",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644851956",
            "telephone_number": "816-261-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOW-ME DIAGNOSTIC LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "LUMAN",
        "authorized_official_first_name": "GEORGANNE",
        "authorized_official_title_or_position": "LAB DIRECTOR/OWNER",
        "authorized_official_telephone_number": "417-440-1471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPT,CPC"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phlebotomy Technician in Savannah, MO
• Providers in Savannah, MO by specialty
• Phlebotomy Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.