Medtox Laboratories, Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

24D0665278 Issued in MN

Legal business name

MEDTOX LABORATORIES, INC

Practice address

402 County Road D W
Saint Paul, MN 55112-3522

Phone

(800) 832-3244

Fax

(651) 286-6249

NPI assigned

Dec 13, 2005

Last updated

Feb 24, 2014By 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

Kimberly Williams

Title

VP

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Matthews, NC
  • NPI 1972946267

  Member Of

  NPD member

Locations

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393200000000",
    "number": "1487639381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 COUNTY ROAD D W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551123522",
            "telephone_number": "800-832-3244",
            "fax_number": "651-286-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 COUNTY ROAD D W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551123522",
            "telephone_number": "800-832-3244",
            "fax_number": "651-286-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTOX LABORATORIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2014-02-24",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "800-222-7566"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "24D0665278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Associates of Minnesota (St Paul Internists)
• Medical Scanning Consultants PA (Center for Diagnostic Imaging)
• Angela M Medina, MD
• Meditelecare of Minnesota PLLC
• Brent Medoff, MD
• Linda Colleen Medvec, RN
• Dmitri Mikhaylovich Medvedovski, PHD
• Medvidi Health PC
• Medxpress Health PLLC
• Ashley Danielle Meek, CRNA

• Clinical Medical Laboratory in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.